Vulvar Cancer Overview
Learn About Vulvar Cancer
Vulvar 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 starts on the clitoris or in glands on the sides of the vaginal opening.
Cancer - vulva; Cancer - perineum; Cancer - vulvar; Genital warts - vulvar cancer; HPV - vulvar cancer
Most vulvar cancers begin in skin cells called squamous cells. Other types of cancers found on the vulva are:
- Adenocarcinoma
- Basal cell carcinoma
- Melanoma
- Sarcoma
Vulvar cancer is rare. Risk factors include:
- Human papilloma virus (HPV, or genital warts) infection in women under age 50
- Chronic skin changes, such as lichen sclerosis or squamous hyperplasia in women over age 50
- History of cervical cancer or vaginal cancer
- Smoking
Women with a condition called vulvar intraepithelial neoplasia (VIN) may develop into a vulvar cancer that spreads. Most cases of VIN, though, never lead to cancer.
Other possible risk factors may include:
- History of abnormal Pap smears
- Having many sexual partners
- Having first sexual intercourse at 16 or younger
Women with this condition will often have itching around the vagina for years. They may have used different skin creams. They may also have bleeding or discharge outside their periods.
Other skin changes that may occur around the vulva:
- Mole or freckle, which may be pink, red, white, or gray
- Skin thickening or lump
- Skin sore (ulcer), especially if non healing
Other symptoms:
- Pain or burning with urination
- Pain with intercourse
- Unusual odor
Some women with vulvar cancer have no symptoms.
Treatment involves surgery to remove the cancer cells. If the tumor is large (more than 2 cm) or has grown 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 that cannot be treated with surgery
- Vulvar cancer that comes back
- Women who are not medically able to undergo surgery
John Weed is a Gynecologic Oncologist and an Oncologist in Kansas City, Missouri. Dr. Weed and is rated as an Experienced provider by MediFind in the treatment of Vulvar Cancer. His top areas of expertise are Malignant Mixed Mullerian Tumor, Ovarian Carcinosarcoma, Ovarian Cancer, and Virilizing Ovarian Tumor.
Midwest Oncology Associates LLC
Aruna Rokkam is a Hematologist Oncology specialist and a Hematologist in Lees Summit, Missouri. Dr. Rokkam and is rated as an Experienced provider by MediFind in the treatment of Vulvar Cancer. Her top areas of expertise are Paget Disease of the Breast, Pleuropulmonary Blastoma, Lung Cancer, and Colorectal Cancer. Dr. Rokkam is currently accepting new patients.
Cotton O'neil Clinic Revocable Trust
Jessica Kieffer is an Obstetrics and Gynecologist in Topeka, Kansas. Dr. Kieffer has been practicing medicine for over 9 years and is rated as an Experienced provider by MediFind in the treatment of Vulvar Cancer. Her top area of expertise is Vulvar Cancer. Dr. Kieffer is currently accepting new patients.
You can ease the stress of illness by joining a cancer support group. Sharing with others who have common experiences and problems can help you not feel alone.
Most women with vulvar cancer who are diagnosed and treated at an early stage do well. But a woman's outcome depends on:
- The size of the tumor
- The type of vulvar cancer
- Whether the cancer has spread
The cancer commonly comes back at or near the site of the original tumor.
Complications may include:
- Spread of the cancer to other areas of the body
- Side effects of radiation, surgery, or chemotherapy
Contact your health care provider if you have any of these symptoms for more than 2 weeks:
- Local irritation
- Skin color change
- Sore on the vulva
Practicing safer sex may decrease your risk for vulvar cancer. This includes using condoms to protect against sexually transmitted infections (STIs).
A vaccine is available to protect against certain forms of HPV infection. The vaccine is approved to prevent cervical cancer and genital warts. 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 45.
Routine pelvic exams can help detect vulvar cancer at an earlier stage. Earlier diagnosis improves your chances that treatment will be successful.
Background: Often, metastatic human papillomavirus (HPV) associated cancers cannot be cured. They also do not respond well to treatment. Some forms of colon cancer also have poor responses to treatment. Researchers want to see if a new drug treatment can help people with these types of cancers.
Summary: Multicenter, randomized, open-label, phase II clinical study comparing Dostarlimab +/- Bevacizumab with standard chemotherapy in patients with gynecological clear cell carcinoma. 198 subjects will be enrolled in this study and will be assigned to three groups in a 1:1:1 ratio. 1. Group A: Dostarlimab monotherapy * First 3 cycles: Dostalimab 500mg every 3 weeks, IV * 4 cycles \ up to 24 months: Dos...
Published Date: March 31, 2024
Published By: Howard Goodman, MD, Gynecologic Oncology, Florida Cancer Specialists & Research Institute, West Palm Beach, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Frumovitz M. Neoplastic diseases of the vulva and vagina. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 30.
Jhingran A, Russell AH, Seiden MV, et al. Cancers of the cervix, vulva, and vagina. In: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 84.
National Comprehensive Cancer Network website. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines). Vulvar cancer (squamous cell cardinoma) Version 4.2024 – May 1, 2024. www.nccn.org/professionals/physician_gls/pdf/vulvar.pdf. Accessed June 15, 2024.
National Cancer Institute website. Vulvar cancer treatment (PDQ) - health professional version. www.cancer.gov/types/vulvar/hp/vulvar-treatment-pdq. Updated February 16, 2024. Accessed June 10, 2024.