![]() Vaginal Cancer – If the lesion is small and superficial an excision is the primary form of treatment. ![]() Primary radiation is sometimes used if the cancer arises from the clitoris or close to structures such as the urethra or anus – this allows anatomy and function to be preserved. Radiation therapy may be required if there are positive groin nodes or if margins of the excised lesion are close. If the lesion is close to the midline groin nodes on both sides are sampled. Larger lesions require a full groin node dissection to be performed. If the vulval lesion is less than 4cm in size, the groin nodes are sampled by a technique known as sentinel lymph node dissection. If the lesion has invaded greater than 1mm, groin nodes need to be sampled. ![]() Vulval Cancer – The vulval lesion is radically excised (cut out). The treatment of vulval and vaginal cancer differs, however the aim is to remove all visible disease. ![]()
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