Abstract: |
The vulva is a triangular soft tissue structure within the perineum, bounded by the symphysis pubis anteriorly, the anal sphincter posteriorly, and the ischial tuberosities laterally. It is comprised of the mons pubis, labia majora, labia minora, clitoris, vestibular bulb, vestibular glands, and vestibule of the vagina. Cancer affecting the vulva accounts for approximately 3-5% of all female genital malignancies (Sankaranarayanan and Ferlay 2006; Siegel et al. 2011). In this chapter, we discuss the clinical features and different imaging modalities used to define the extent of primary or recurrent disease in patients with vulvar cancer. Imaging techniques include sentinel node imaging for lymph node assessment, MRI mainly for local staging, CT or PET-CT for the assessment of distant disease, and ultrasound, which is often utilized for image-guided biopsy procedures. © 2013 Springer-Verlag Berlin Heidelberg. All rights are reserved. |