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Vulva

Vulva :

The vulva, which is part of a woman’s genitals, is at the opening of the vagina (birth canal). Vulvar cancer is classified based on the types of cells where it begins.

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The vulva includes the following main parts:
Bartholin glands, which help lubricate the vagina during sex. One is on each side of the opening of the vagina.


Two skin folds around the opening of the vagina:

• Outer lips (labia majora), which are larger and have hair
• Inner lips (labia minora), which are small and do not have hair
Clitoris, which helps a woman feel sexual stimulation



The main types of vulvar cancer are:

Squamous cell, which is a wart-like growth. Verrucous vulvar cancer is a subtype. This cancer often can be treated successfully. It is the main type of vulvar cancer.
Adenocarcinoma usually starts in the Bartholin glands or sweat glands in the vulva. These make up about 8% of vulvar cancers. Paget disease of the vulva is a type of adenocarcinoma in which the cancer cells are in the top layer of skin.
Melanoma is a skin cancer that starts in cells that make pigment.
Sarcomas may be found in children as well as adults. These rare types of vulvar cancer start in the muscles or bones.

Vulvar cancer causes & risk factors

Risk factors for Vulvar Cancer

  • Age: More than half of women who develop vulvar cancer are over 70 years old.
  • HPV (human papilloma virus)
  • Smoking tobacco
  • HIV (human immunodeficiency virus)
  • Vulvar intraepithelial neoplasia (VIN), a precancerous condition usually caused by HPV
  • Cervical cancer
  • Melanoma or atypical moles on other parts of the body
  • Family history of melanoma
Vulvar Cancer Symptoms

Symptoms of vulvar cancer vary from woman to woman. They may include:

• Red, pink or white bump (or bumps) with a rough or scaly surface on the vulva
• Burning, pain or itching in the genital area
• Pain when you urinate
• Bleeding and discharge when you are not having a menstrual period
• Sore on the vulva that does not heal for a month
• Change in a mole in the genital area
• Lump close to the opening to the vagina
Vulvar Cancer Diagnosis

Early and accurate diagnosis of vulvar cancer is important. It also is crucial to find out if and where the cancer has spread. This helps your doctors choose the best therapies for you.

At our centre, experts use the most modern and accurate equipment to diagnose vulvar cancer. With pinpoint attention to detail, our pathologists, diagnostic radiologists and specially trained technicians find the exact extent of disease. This helps increase the likelihood your treatment will be successful.

Vulvar Cancer Diagnostic Tests

If you have symptoms that may signal vulvar cancer, our gynae oncologist will examine you and ask you questions about your health, your lifestyle and your family medical history. Then, pelvic exam and pap smear will be done.

If you have a growth in the vulvar area that our experts thinks might be cancer, the only way to tell for sure is a biopsy. Our expert use a special instrument called a colposcope to magnify the area and make it easier to remove the tissue. A small bit of tissue will be removed by:

• Excisional biopsy: A small knife is used
• Punch biopsy: A tiny punch tool is used

Other tests may help find out if you have vulvar cancer and if it has spread. These tests also may be used to learn if treatment is working.

Imaging tests, which may include:

• CT or CAT (computed axial tomography) scans
• MRI (magnetic resonance imaging) scans
• PET (positron emission tomography) scans
• Chest X-ray