Vulvar
Cancer​

About vulvar cancer:

Vulvar cancer is uncommon and usually seen in older women.  It occurs on the outer skin surface of the genital area. The average age at time of diagnosis is 70; less than 20% of women are younger than 50 years of age. It can be seen in women who have a history of abnormal PAP tests and can be associated with HPV (Human Papilloma Virus).  Additionally, women with a history of lichen sclerosis, a chronic inflammatory condition of the vulva, are at increased risk of developing vulvar cancer. Identifying and treating pre-cancerous lesions of the lower genital tract – cervix, vagina and vulva is an effective measure to decrease the chance of developing vulvar cancer.

Types:

  • vulvar squamous cell carcinoma
  • vulvar melanoma

Symptoms:

  • vulvar itching
  • vulvar pain
  • vaginal bleeding
  • vulvar skin changes
  • vulvar mass

Diagnosis:

Assessment of a patient with suspected vulvar cancer may include

  • Complete physical examination including evaluation of inguinal lymph nodes
  • Documentation of location of mass with respect to surrounding structures (ie. clitoris, anus, urethra)
  • Colposcopy
  • Tissue biopsy with expert pathology review
  • CT of the chest, abdomen, pelvis
  • MRI
  •  

Treatment:

Treatment options depend on the type and stage of cancer, as well as the patient’s overall health status. Using state-of the art technology, our surgeons can perform surgery with specific lymph node assessment. Radiation with chemotherapy or chemotherapy alone may be used to treat vulvar cancer.