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Clinical examination +++

Topography

Macroscopic characteristics

Drawings +++ / vaginal impression

Transvaginal and/or transrectal sonography :

tumour thickness : assists in BT technique

MRI : tumour dimension, site, extension (bladder, rectum)

enlarged pelvic and para-aortic nodes

FDG-PET nodal disease twice as often as CT

Depending on tumoral extension : anuscopy/rectoscopy /

urethrocystoscopy

Vaginal cancer: initial work-up