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Is early diagnosis important for vulvar cancer?

Updated: 11/13/2022
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GaleEncyofMedicine

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13y ago

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Because vulvar cancer is highly curable in its early stages, women should consult a physician as soon as a vulvar abnormality is detected.

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Q: Is early diagnosis important for vulvar cancer?
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Cancer on the vulva?

Cancer of this part is a relatively rare type of cancer that affects the external female genitalia. This part includes the labia, clitoris, vaginal opening, and the space between the vaginal opening and the anus. Most vulvar cancers are squamous cell carcinomas, but other types can also occur. Here are some key points about vulvar cancer: Risk Factors: Age: The risk of this cancer increases with age, with the majority of cases diagnosed in older women. HPV Infection: Persistent infection with high-risk types of human papillomavirus (HPV) is a significant risk factor. Smoking: Tobacco use has been linked to an increased risk of vulvar cancer. Chronic Vulvar Skin Conditions: Long-term conditions such as lichen sclerosus or lichen planus may increase the risk. Immunosuppression: Individuals with weakened immune systems, such as those with HIV or undergoing organ transplantation, may have an elevated risk. Signs and Symptoms: Itching or Pain: Persistent itching, pain, or tenderness in the vulvar area. Changes in Skin Color or Texture: Abnormal changes in the color, thickness, or texture of the skin. Bleeding or Discharge: Unexplained bleeding not related to menstruation or abnormal vaginal discharge. Ulcers or Lumps: Presence of ulcers, lumps, or sores on the surface. Diagnosis and Treatment: Biopsy: A biopsy is performed to confirm the diagnosis by examining a sample of tissue from the vulvar lesion. Staging: The cancer is staged to determine its extent and guide treatment decisions. Surgery: Surgical removal of the tumor is a common treatment option. This may involve removing part or all of the entire part (vulvectomy). Radiation Therapy: Radiation may be used to target cancer cells and shrink tumors. Chemotherapy: Systemic chemotherapy may be recommended for advanced cases or to target cancer cells that have spread. Prevention: HPV Vaccination: Getting vaccinated against HPV can reduce the risk of vulvar cancer. Safe Sex Practices: Practicing safe sex and using barrier methods, like condoms, can reduce the risk of HPV transmission. Regular Check-ups: Routine gynecological exams and screenings can help detect abnormalities early. Early detection and prompt treatment are crucial for favorable outcomes. If you experience any unusual symptoms or changes in the vulvar area, it's important to consult with a healthcare professional for evaluation and appropriate management.


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Been itchy on and off for 5 months got tested back in January and test came out fine but im still itchy down there sometimes pretty bad where i cant stop scratching im terrified its an std HELP?

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Cancer - vulva?

DefinitionVulvar cancer is cancer that starts in the vulva. Vulvar cancer most often affects the labia, the folds of skin outside the vagina. In some cases, vulvar cancer may start on the clitoris or in glands on the sides of the vagina opening.Alternative NamesCancer - perineumCauses, incidence, and risk factorsMost vulvar cancers begin in skin cells called squamous cells. Other vulvar cancers are:AdenocarcinomaBasal cell carcinomaMelanomaSarcomaVulvar cancer is relatively rare. Risk factors include:Human papilloma virus (HPV, or genital warts) infection in women under age 50Chronic skin changes such as lichen sclerosis or squamous hyperplasia in women over age 50History of cervical cancer or vaginal cancerSmokingWomen with a condition called vulvar intraepithelial neoplasia (VIN) have a greater risk of developing vulvar cancer that spreads. However, most cases of VIN never lead to cancer.SymptomsWomen with this condition will often have itching around the vagina for years. They may have used different skin creams. They may also have bleeding.Other skin changes that may occur around the vulva:Mole or freckle, which may be pink, red, white, or graySkin thickening or lumpSkin sore (ulcer)Other symptoms:Pain or burning with urinationPain with intercourseUnusual odorAlmost 20% of women with vulvar cancer have no symptoms.Signs and testsThe following tests are used to diagnose vulvar cancer:BiopsyCT scan or MRI of the pelvisto look for cancer spreadPelvic examination to look for any skin changesTreatmentImiquimod 5% cream may be used to treat vulvar intraepithelial neoplasia (VIN).Treatment involves surgery to remove the cancer cells. If the tumor is large (more than 2 cm) or has grown deeply into the skin, the lymph nodes in the groin area may also be removed.Radiation, with or without chemotherapy, may be used to treat advanced tumors or vulvar cancer that comes back.Support GroupsYou can ease the stress of illness by joining a support group whose members share common experiences and problems. See cancer - support group.Expectations (prognosis)Most women with vulvar cancer who are diagnosed and treated at an early stage do well. However, a woman's outcome depends on:The size of the tumorThe type of vulvar cancerWhether the cancer has spreadThe cancer commonly comes back at or near the site of the original tumor.ComplicationsComplications may include:Spread of the cancer to other areas of the bodySide effects of radiation, surgery, or chemotherapyCalling your health care providerCall your health care provider if you have any of these symptoms for more than 2 weeks:Local irritationSkin color changeSore on the vulvaPreventionPracticing safe sex may decrease your risk of vulvar cancer. This includes using condoms to protect against sexually transmitted diseases.A vaccine is available to protect against certain forms of HPV infection. The vaccine is approved to prevent cervical cancer and precancers. It may help prevent other cancers linked to HPV, such as vulvar cancer. The vaccine is given to young girls before they become sexually active, and to adolescents and women up to age 26.Routine pelvic exams can help diagnose vulvar and other cancers at an earlier stage. Earlier diagnosis improves the odds of treatment success.ReferencesZhingran A, Russell AH, Seiden MV, et al. Cancers of the cervix, vulva, and vagina. In: Abeloff MD, Armitage JO, Niederhuber JE, Kastan MB, McKenna WG, eds. Abeloff's Clinical Oncology. 4th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2008:chap 91.Kumar S, Shah JP, Bryant CS, et al. A comparison of younger vs older women with vulvar cancer in the United States. Am J Obstet Gynecol. 2009;200:e52-e55.van Seters M, van Beurden M, ten Kate FJ, Beckmann I, Ewing PC, Eijkemans MJ, et al. Treatment of vulvar intraepithelial neoplasia with topical imiquimod. N Engl J Med. 2008;358:1465-1473.


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