<s>[INST] Hi my name is name and ive been told today that from a surgery procusure & biopsy that ive vulvar cancer. I wasnt told about any stages in this but that i would have to go back in again to remove the lymph nodes. Does this mean im at stage 3? and was told if this spead anywhere else is this possible and where can it spead? i think i was just shell shocked when i heard. The other thing that was said was that he would have to talk to a radiatolist to see if he would go with on radiation therapy or more to be cut away. does this mean he is not sure if all was removed? [/INST] Hi and welcome to Chat Doctor. Thank you for your query. If there are confirmed positive lymph nodes then it is stage 3. But positive lymph nodes must be verified by biopsy. Vulgar carcinoma can be spread by local infiltrating or by metastasis. Local infiltration can involve urethra, bladder rectum and other surrounding tissue. Sometimes it can't be determined whether lymph nodes are positive or not and then radiotherapy is done to prevent possible spreading.  Wish you good health and recovery. </s>