Cancer of the vulva affects the skin folds on the exterior of the vagina and labia. In certain women vulvar cancer can begin first over the clitoris or on the sides of the vaginal opening where glands are situated. Some of the popular types of vulvar cancer include the squamous cell carcinoma, adenocarcinoma, sarcoma, melanoma and basal cell carcinoma. It has been found that vulvar cancer occurs in women very rarely. Some of the important risk factors that can lead to vulvar cancer are smoking, history of vaginal cancer or cervical cancer, genital warts or HPV. Even though VIN or vulvar intraepithelial neoplasia might not result in cancer it too can contribute to become Vulvar cancer.

Common symptoms experienced by women before or after vulvar cancer can include itching in and around the vagina for a long time which might b due to use of various kind of skin creams or even without their use. Bleeding is also very common. Other skin changes that might be observed in women suffering from vulvar cancer are thickening of the vaginal skin, presence of lump, ulceration of the skin or skin sore, freckles or moles in white, gray, red, or pink color in the vagina. Some women can even experience burning sensation or pain during urination, pain during or after intercourse, unusual or bad odor emanating from the vagina and many more.

Vulvar cancer prognosis normally can be referred based on the outcome of the disease. Vulvar cancer prognosis or chances of survival might be based on the vulvar cancer complications, duration of the disease, possible outcomes, recovery prospects, survival rates, period of recovery and various other possibilities. Other important factors that determine the vulvar cancer prognosis includes factors like the absence or presence of metastases of lymph nodes, their size, lesion’s location and histological kind. The important variable of vulvar cancer prognosis is said to be the lymph nodes.

Surgical staging of vulvar cancer normally depends on the inguinofemoral lymph nodes and vulvar biopsy pathologic evaluation. But before going in for a full staging procedure it is better to take the help of clinical evaluation that helps in guiding the medical and surgical approach. For instance, it can be used whether to opt for neoadjuvant chemoradiation use or surgical incision choice.

A full physical examination and pelvic examination will be done generally focusing mainly on the diameter measurement of the main tumor, and axillary, inguinal palpationa or supraclavicular lymphadenopathy.

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