malignant neoplasm of vulva staging distant metastasis (M) M1/IVb
malignant neoplasm of vulva staging distant metastasis (m) m1/ivb
malignant neoplasm of vulva staging distant metastasis (M) M1/IVb (diagnosis)
malignant neoplasm of vulva staging distant metastasis (m) m1/ivb (diagnosis)