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Stage 4

Stage 4 vulval cancer is advanced cancer. 

Stage 4A

In stage 4A the cancer has either:

  • spread into the lining of the upper part of the vagina, the lining of the upper part of the urethra, the lining of the bladder or the lining of the anus
  • attached on to the pelvic bone
  • spread into nearby lymph nodes and the lymph node is either fixed, meaning it cannot move around, or it has formed an open sore called an ulcer
Diagram showing stage 4A vulval cancer

Stage 4B

In stage 4B, the cancer can spread to one or both of the following:

  • to the lymph nodes in your pelvis
  • to other parts of your body further away from the vulva

An example of this is the cancer spreading to the lungs.

Diagram showing stage 4B vulval cancer
Last reviewed: 
05 Mar 2019
  • Cancer of the Vulva

    FIGO cancer report 2018

    L Rogers and M Cuello

    International Journal of Gynaecology and Obstetrics, 2018. Vol 143, Issue S2, Pages 4-13

  • AJCC Cancer Staging Manual (8th edition)
    American Joint Committee on Cancer
    Springer, 2017

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