There is no relevant literature detailing the role of CT in the evaluation of primary tumor size and extent, which is likely explained by the limited soft-tissue contrast of CT. Lymph node enlargement and abnormal pattern of enhancement are the main criteria used to detect lymph node metastases on CT. If IFLN metastases are suspected on imaging, SLN mapping is not recommended. Instead, complete lymphadenectomy or, alternatively, US-guided FNAB is performed [6]. Normal imaging findings do not exclude IFLN metastases (because of inadequate sensitivity) and do not alleviate the need for SLN mapping and sampling. CT Pelvis CT of the pelvis is not indicated in patients with clinical early-stage disease. There is no relevant literature about the role of CT in the evaluation of primary tumor size and extent, likely explained by the limited soft-tissue contrast of CT. Lymph node enlargement and abnormal pattern of enhancement are the main criteria used to detect lymph node metastases on CT. If IFLN metastases are suspected on imaging, SLN mapping is not recommended. Instead, complete lymphadenectomy or, alternatively, US-guided FNAB is performed [6]. Normal imaging findings do not Staging and Follow-up of Vulvar Cancer exclude IFLN metastases (because of inadequate sensitivity) and do not alleviate the need for SLN mapping and sampling. FDG-PET/CT Skull Base to Mid-Thigh FDG-PET/CT is not indicated in patients with clinical early-stage disease. There is no relevant literature about the role of FDG-PET/CT in the evaluation of primary tumor size and extent. If findings on FDG-PET/CT are suspicious for lymph node metastases, SLN mapping is not recommended. Instead, complete lymphadenectomy or, alternatively, US-guided FNAB is performed [6]. Normal imaging findings do not exclude IFLN metastases (because of inadequate sensitivity) and do not alleviate the need for SLN mapping and sampling.
Staging and Follow up of Vulvar Cancer. There is no relevant literature detailing the role of CT in the evaluation of primary tumor size and extent, which is likely explained by the limited soft-tissue contrast of CT. Lymph node enlargement and abnormal pattern of enhancement are the main criteria used to detect lymph node metastases on CT. If IFLN metastases are suspected on imaging, SLN mapping is not recommended. Instead, complete lymphadenectomy or, alternatively, US-guided FNAB is performed [6]. Normal imaging findings do not exclude IFLN metastases (because of inadequate sensitivity) and do not alleviate the need for SLN mapping and sampling. CT Pelvis CT of the pelvis is not indicated in patients with clinical early-stage disease. There is no relevant literature about the role of CT in the evaluation of primary tumor size and extent, likely explained by the limited soft-tissue contrast of CT. Lymph node enlargement and abnormal pattern of enhancement are the main criteria used to detect lymph node metastases on CT. If IFLN metastases are suspected on imaging, SLN mapping is not recommended. Instead, complete lymphadenectomy or, alternatively, US-guided FNAB is performed [6]. Normal imaging findings do not Staging and Follow-up of Vulvar Cancer exclude IFLN metastases (because of inadequate sensitivity) and do not alleviate the need for SLN mapping and sampling. FDG-PET/CT Skull Base to Mid-Thigh FDG-PET/CT is not indicated in patients with clinical early-stage disease. There is no relevant literature about the role of FDG-PET/CT in the evaluation of primary tumor size and extent. If findings on FDG-PET/CT are suspicious for lymph node metastases, SLN mapping is not recommended. Instead, complete lymphadenectomy or, alternatively, US-guided FNAB is performed [6]. Normal imaging findings do not exclude IFLN metastases (because of inadequate sensitivity) and do not alleviate the need for SLN mapping and sampling.