label: Stage IV Vulvar Cancer AJCC v9
label_lc: stage iv vulvar cancer ajcc v9
description: Stage IV includes: IVA: (T4, Any N, M0); (Any T, N2, M0); IVB: Any T, Any N, M1. T4: Tumor fixed to pelvic bone. N2: Tumor involvement of fixed or ulcerated regional lymph nodes. M0: No distant metastasis. M1: Distant metastasis. (from AJCC 9th Ed.)