Carcinoma de células esquamosas vaginais e vulvares
Visão determinística da entidade fonte YAML. A autoridade clínica permanece com os IDs de fonte citados e estado de assinatura do revisor.
| ID | DIS-VULVAR-VAGINAL-SCC |
|---|---|
| Tipo | Doença |
| Alegais | CSC de vulvar associado ao HPVCCC derivado de esclerosio de líquenCSC derivado de VINAvaliação da capacidade de produção de energiaAvaliação da capacidade de produçãoПлоскоклітинна карцинома вульви та піхви |
| Estado | reviewed 2026-05-18 | pending_clinical_signoff |
| Doenças | Nenhuma declaração |
| Fontes | SRC-IARC-MONO-100B-2012 SRC-NCCN-CERVICAL-2025 |
Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.
| icd_o_3_morphology | 8070/3 |
|---|---|
| icd_o_3_topography | ["C51", "C52"] |
| icd_10 | C51, C52 |
| who_classification | WHO Female Genital Tumours 5th ed (2020): Vulvar SCC (HPV-associated + HPV-independent) and Vaginal SCC |
Notas
Two biological subgroups managed similarly anatomically but with distinct prevention implications: HPV-driven (vaccination prevents precursor lesions; screening with vulvar exam + biopsy of any persistent lesion) vs HPV-independent (lichen sclerosus surveillance is the dominant prevention modality; topical clobetasol may reduce malignant transformation in select cohorts). Treatment: early-stage — wide local excision ± inguinal sentinel node biopsy (GROINSS-V paradigm replacing routine complete inguinofemoral lymphadenectomy); locally advanced — definitive chemoradiation (cisplatin + RT); metastatic — pembrolizumab if PD-L1+ (KEYNOTE-158 cohort). Vaginal SCC managed similarly with RT-based approaches (anatomic constraints limit surgical options).
Usado por
Algoritmos
ALGO-VULVAR-VAGINAL-SCC-1L- ALGO-VULVAR-VAGINAL-SCC-1L
Doença
DIS-PENILE-SCC- Carcinoma de células escamosas do pénis
Indicação
IND-IATROGENIC-DES-EXPOSURE-PREVENTION-OBSERVATION- IND-IATROGENIC-DES-EXPOSURE-PREVENTION-OBSERVATIONIND-IATROGENIC-DES-EXPOSURE-PREVENTION-SURVEILLANCE- IND-IATROGENIC-DES-EXPOSURE-PREVENTION-SURVEILLANCEIND-VULVAR-VAGINAL-SCC-1L-WLE-SLNB- IND-VULVAR-VAGINAL-SCC-1L-WLE-SLNBIND-VULVAR-VAGINAL-SCC-LA-1L-CISPLATIN-RT- IND-VULVAR-VAGINAL-SCC-LA-1L-CISPLATIN-RTIND-VULVAR-VAGINAL-SCC-METASTATIC-1L-PEMBRO- IND-VULVAR-VAGINAL-SCC-METASTATIC-1L-PEMBRO
Sinal de alerta
RF-IATROGENIC-DES-EXPOSURE-PREVENTION- In-utero exposure to diethylstilbestrol (DES), a synthetic non- steroidal estrogen prescr...RF-REPRODUCTIVE-DES-IN-UTERO-EXPOSURE-PREVENTION- In-utero exposure to diethylstilbestrol (DES) — synthetic non-steroidal estrogen prescrib...RF-VULVAR-VAGINAL-SCC-PDL1-CPS-1-PLUS- Tratada anteriormente, recorrente, ou metástase vulvar ou carcinoma de células escamosas vaginais...
Fontes
SRC-GROINSS-V-VANDERZEE-2008- A dissecção do Nó Sentinela é segura no tratamento do câncer de Vulvar precoce (GROINSS-V...SRC-KEYNOTE-158-VULVAR-SHAPIRA-FROMMER-2022- Eficácia e segurança de Pembrolizumab para doentes com Vulvar Avançado...