<prompt> Lower urethral involvement of vulval carcinoma without inguinofemoral nodes is seen in :Stage IStage IIStage IIIStage IV  <response>: Staging of vulval cancer: Stage I --- Tumour confined to the vulva IA Lesions cm in size, confined to the vulva or perineum and with stromal invasion .0 mm, no nodal metastasis IB Lesions .2 cm in size or with stromal invasion .1.0 mm, confined to the vulva or perineum, with negative nodes Stage II --- Tumour of any size with extension to adjacent perineal structures 13 lower urethra, 13 lower vagina, anus with negative nodes Stage III --- Tumour of any size with or without extension to adjacent perineal structures 13 lower urethra, 13 lower vagina, anus with positive inguino- femoral lymph nodes IIIA i With 1 lymph node metastasis 5 mm, or ii 1-2 lymph node metastatises ,5 mm IIIB i With 2 or more lymph node metastases 5 mm, or ii 3 or more lymph node metastases ,5 mm IIIC With positive nodes with extracapsular spread Stage IV --- Tumour invades other regional 23 upper urethra, 23 upper vagina, or distant structures. IVA Tumour invades any of the following: i Upper urethral andor vaginal mucosa, bladder mucosa, rectal mucosa, or fixed to pelvic bone, or ii Fixed or ulcerated inguino-femoral lymph nodes IVB Any distant metastasis including pelvic lymph nodes Reference: Shaws Textbook of Gynaecology 16th edition page no 479 