Size of lesion | Depth of invasion (mm) | Location | Operation | Inguinofemoral lymphadenectomy or sentinel lymph node evaluation*¶ |
T1a | ≤1 | LateralΔ or central | Radical local excision | No |
>1 | LateralΔ | Radical local excision | Ipsilateral |
T1b | – | Central | Radical local excision | Bilateral |
Lateral | Radical local excision | Ipsilateral |
T2: Any size with extension to adjacent perineal structures (lower/distal 1/3 urethra, lower/distal 1/3 vagina, anal involvement) | – | – | Modified radical◊ and/or chemoradiation | Bilateral |
Extensive T3-T4 disease (upper/proximal 2/3 of urethra, upper/proximal 2/3 vagina, bladder mucosa, rectal mucosa, or fixed to pelvic bone) | – | – | Neoadjuvant chemoradiation§ and selected surgery | – |