vulva




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  • Normal

    • epidermis
    • dermis
    • hypodermis

  • Non-neoplastic

  • WHO neoplasms

    • epithelial
      • squamous
        • VIN
        • SCC
        • basal cell carcinoma
        • condyloma
        • vestibular papilloma
        • fibroepithelial polyp
        • keratosis
          • seborrheic keratosis
          • inverted follicular keratosis
        • keratoacanthoma
      • glandular
        • Paget disease
        • Bartholin gland tumors
          • bartholin gland adenocarcinoma
          • bartholin gland SCC
          • adenoid cystic carcinoma
          • transitional cell carcinoma
          • adenosquamous carcinoma
          • small cell carcinoma
          • adenoma
          • adenomyoma
        • anogenital mammary-like glands
          • mammary gland-like adenocarcinoma
          • papillary hidradenoma
        • skene gland adenocarcinoma
        • minor vestibular gland adenocarcinoma
        • skin appendage tumors
          • sweat gland tumors
          • sebaceous carcinoma
          • syringoma
          • nodular hidradenoma
          • trichoepithelioma
          • trichilemmoma
    • soft tissue
    • melanocytic
      • melanoma
      • melanocytic nevus
        • congenital
        • acquired
        • atypical
        • dysplastic
      • blue nevus
    • misc
      • yolk sac tumor
      • Merkel cell tumor
      • PNET
    • hematolymphoid
    • metastasis

  • TNM (useful for grossing)

    • T1: <= 2cm
      • T1a: invasion <= 1mm deep
      • T1b: invasion > 1mm deep
    • T2: > 2cm
    • T3: invades lower urethra, vagina, anus
    • T4: invades upper urethra, bladder mucosa, rectal mucosa, or fixed to pubic bone
    • Regional nodes: femoral, inguinal
    • N1: unilateral node
    • N2: bilateral nodes
    • M1: distant metastasis including pelvic nodes

  • Staging

    • I: T1
      • IA: T1a
      • IB: T1b
    • II: T2
    • III: T3 or N1
    • IVA: T4 or N2
    • IVB: M1
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