Which of these cases of ca vulva has the poorest prognosis?
Correct Answer: positive pelvic lymph nodes
Description: The single most impoant prognostic factor is lymph node status:5-year survival without groin node metastases is greater than 90%; with groin node metastases, 5-year survival is 50%. Inguino-femoral lymph nodes are involved in stage iii whereas pelvic and other lymph nodes are involved in stage iv A and hence pelvic lymph nodes will have poorer prognosis
Category:
Gynaecology & Obstetrics
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