Vulval tumor - FIGO stage IIIb

Case contributed by Navneet Gupta
Diagnosis almost certain

Presentation

Perineal soft tissue swelling.

Patient Data

Age: 50 years
Gender: Female

An intermediate signal vulval soft tissue mass centered on the left labia majora involving the anus posteriorly and extending across the right vaginal introitus.

A separate tumor nodule just anterior to the left main mass. Also, there is a pathological left inguinal node.

Overall appearances are consistent with vulval tumor, FIGO stage IIIB.

Case Discussion

A case of a locally advanced vulval tumor with staging MRI conducted to assess the depth of invasion to assist in treatment planning.

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