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Imaging of vulval carcinoma

¹ Queen Elizabeth Hospital, Queen Elizabeth Medical Centre, Birmingham B15 2TH, ² Birmingham Women's Health Care NHS Trust, Metchley Park Road, Edgbaston, Birmingham B15 2TG, UK

• Vulval cancer is a rare malignancy most common in the elderly, but can occur in pre-menopausal patients.
  
• The most important prognostic factors are tumour size, depth of invasion and nodal involvement.
  
• Nodal involvement progresses in a stepwise fashion from the groin to the pelvic nodes in most cases.
  
• Imaging is used in assessment of nodal involvement, but has no role in staging the disease.
  
• Ultrasound, MRI and recently positron emission tomography (PET) imaging have been used in assessing nodal disease.