Specimen: Vulva Other (specify): Not specified Procedure: Local excision Wide excision Partial vulvectomy Total vulvectomy Radical vulvectomy Other (specify): Not specified Lymph Node Sampling: Not applicable Sentinel lymph node biopsy Inguinal-femoral nodes Pelvic nodes Other (specify): Specimen Size: cm Tumor Site: Right vulva: Labium majus Labium minus Left vulva: Labium majus Labium minus Clitoris Other (specify): Not specified Tumor Size: cm Tumor Focality: Unifocal Multifocal Cannot be determined (see Comment) Not specified Histologic Type: Squamous cell carcinoma: Keratinizing Nonkeratinizing Basaloid Warty Verrucous Other (specify): Glandular tumors: Paget disease Bartholin gland tumors: Adenocarcinoma Squamous cell carcinoma Adenoid cystic carcinoma Adenosquamous carcinoma Transitional cell carcinoma Small cell carcinoma Adenocarcinoma of mammary gland type Adenocarcinoma of Skene gland origin Malignant sweat gland tumors Other (specify): Carcinoma, type cannot be determined (see Comment) Histologic Grade: Not applicable GX: Cannot be assessed G1: Well differentiated G2: Moderately differentiated G3: Poorly differentiated G4: Undifferentiated Other (specify): Microscopic Tumor Extension: Depth of invasion: mm Cannot be determined (see Comment) Other (specify): Tumor Border: Pushing Infiltrating Margins: Cannot be determined (see Comment) Uninvolved by invasive carcinoma: Distance of invasive carcinoma from closest margin: mm Specify margin, if possible: Carcinoma in situ not identified at margin Carcinoma in situ present at margin Involved by invasive carcinoma, specify margin(s): Lymph-Vascular Invasion: Not identified Present Cannot be determined (see Comment) Lymph Nodes: No nodes submitted or found Number of Lymph Nodes Examined: Number of Lymph Nodes With Metastasis: Number of lymph nodes with metastasis(es) <5 mm: Number of lymph nodes with metastasis(es) ≥5 mm: Extranodal extension: Present Not identified Cannot be determined (see Comment) Fixed or ulcerated femoral-inguinal lymph nodes: Present Not identified Cannot be determined (see Comment) Laterality: Unilateral Bilateral Pathologic Staging (pTNM (FIGO)) m (multiple primary tumors) r (recurrent) y (post-treatment) Primary Tumor (pT): pTX: Primary tumor cannot be assessed pT0: No evidence of primary tumor pTis: Carcinoma in situ (preinvasive carcinoma) pT1a (FIGO IA): Lesions 2 cm or less in size, confined to the vulva or perineum, and with stromal invasion 1.0 mm or less pT1b (FIGO IB): Lesions more than 2 cm in size or any size with stromal invasion more than 1.0 mm, confined to the vulva or perineum pT2 (FIGO II): Tumor of any size with extension to adjacent perineal structures (lower/distal 1/3 urethra, lower/distal 1/3 vagina, anal involvement) pT3 (FIGO IVA): Tumor of any size with extension to any of the following: upper/proximal 2/3 of urethra, upper/proximal 2/3 vagina, bladder mucosa, rectal mucosa, or fixed to pelvic bone Regional Lymph Nodes (pN): pNX: Regional lymph nodes cannot be assessed pN0: No regional lymph node metastasis pN1: One or two regional lymph nodes with the following features pN1a (FIGO IIIA): One or two lymph node metastasis each 5 mm or less pN1b (FIGO IIIA): One lymph node metastasis 5 mm or greater pN2 (FIGO IIIB): Regional lymph node metastasis with the following features pN2a (FIGO IIIB): Three or more lymph node metastases each less than 5 mm pN2b (FIGO IIIB): Two or more lymph node metastases 5 mm or greater pN2c (FIGO IIIC): Lymph node metastasis with extracapsular spread pN3 (FIGO IVA): Fixed or ulcerated regional lymph node metastasis Distant Metastasis (pM): M0: No distant metastasis pM1 (FIGO IVB): Distant metastasis (including pelvic lymph node metastasis) site: Additional Pathologic Findings: None identified Dysplasia Condyloma accuminatum Vulvar intraepithelial neoplasia (VIN) 3 (severe dysplasia/carcinoma in situ) Other (specify): Comment(s):