Vulvar Cancer

12 min read

Vulvar cancer is a type of cancer that affects the external female genitalia, specifically the vulva. It is a rare form of cancer, accounting for only 4% of all gynecological cancers. Vulvar cancer is most commonly found in women over the age of 60, but it can occur in younger women as well.

Risk Factors

The exact cause of vulvar cancer is unknown, but there are certain risk factors that may increase a woman’s chances of developing the disease. These include:

  • Age – Women over the age of 60 are more likely to develop vulvar cancer.
  • Human papillomavirus (HPV) – HPV is a sexually transmitted virus that can increase the risk of vulvar cancer.
  • Smoking – Smoking increases the risk of developing vulvar cancer.
  • Immune system disorders – Women with weakened immune systems, such as those with HIV/AIDS, are more likely to develop vulvar cancer.
  • Previous vulvar conditions – Women who have had precancerous conditions of the vulva, such as vulvar intraepithelial neoplasia (VIN), are at an increased risk of developing vulvar cancer.

Diagnosis

Vulvar cancer is usually diagnosed through a physical exam and biopsy. During the physical exam, the doctor will look for any abnormal areas on the vulva. If an area looks suspicious, a biopsy will be performed to confirm the diagnosis. Other tests, such as imaging scans and blood tests, may also be used to diagnose vulvar cancer.

Prevention

There is no sure way to prevent vulvar cancer, but there are steps that can be taken to reduce the risk. These include:

  • Practicing safe sex – Using condoms and limiting the number of sexual partners can reduce the risk of HPV infection.
  • Quitting smoking – Smoking increases the risk of developing vulvar cancer.
  • Getting regular check-ups – Regular check-ups can help detect any precancerous conditions of the vulva.
  • Getting the HPV vaccine – The HPV vaccine can help protect against certain types of HPV that can increase the risk of vulvar cancer.
Take the Vulvar Cancer Assessment

Symptoms

Common Symptoms of Vulvar Cancer

  • A lump, bump, or mass on the vulva
  • Itching, burning, or pain in the vulva
  • Bleeding that is not related to menstruation
  • Changes in the color or texture of the skin on the vulva
  • A sore or ulcer that does not heal
  • A foul-smelling discharge

It is important to note that these symptoms can also be caused by other conditions, such as an infection or a skin condition. If you experience any of these symptoms, it is important to see your doctor for a diagnosis.

Diagnosis and Treatment of Vulvar Cancer

If your doctor suspects that you may have vulvar cancer, they will likely order tests to confirm the diagnosis. These tests may include a biopsy, imaging tests, and blood tests. Once the diagnosis is confirmed, your doctor will discuss treatment options with you. Treatment for vulvar cancer may include surgery, radiation therapy, chemotherapy, or a combination of these treatments.

If you experience any of the symptoms of vulvar cancer, it is important to see your doctor for a diagnosis. Early detection and treatment can improve the chances of a successful outcome.

Causes

Risk Factors for Vulvar Cancer

The following are some of the risk factors associated with vulvar cancer:

  • Age: Vulvar cancer is more common in women over the age of 60.
  • Human papillomavirus (HPV): HPV is a sexually transmitted virus that can increase the risk of developing vulvar cancer.
  • Smoking: Smoking has been linked to an increased risk of developing vulvar cancer.
  • Immune system suppression: Women with weakened immune systems, such as those with HIV/AIDS, are at an increased risk of developing vulvar cancer.
  • Chronic vulvar irritation: Women who experience chronic irritation or inflammation of the vulva may be at an increased risk of developing vulvar cancer.
  • Family history: Women with a family history of vulvar cancer may be at an increased risk of developing the condition.

Conclusion

Vulvar cancer is a rare type of cancer that affects the external female genitalia. While the exact cause of vulvar cancer is unknown, there are certain risk factors that may increase the likelihood of developing the condition. It is important to be aware of these risk factors in order to reduce the risk of developing vulvar cancer.

Getting a Diagnosis

Physical Exam

The first step in diagnosing vulvar cancer is a physical exam. During the exam, the doctor will look for any signs of abnormal growths or lesions on the vulva. The doctor may also take a sample of tissue from the area to be tested for cancer cells.

Biopsy

A biopsy is a procedure in which a small sample of tissue is taken from the affected area and examined under a microscope. This can help the doctor determine if the cells are cancerous or not. The biopsy can also help the doctor determine the type and stage of the cancer.

Imaging Tests

Imaging tests such as X-rays, CT scans, and MRI scans can be used to look for any signs of cancer in the pelvic area. These tests can also help the doctor determine the size and extent of the cancer.

Blood Tests

Blood tests can be used to look for any signs of cancer in the body. These tests can also help the doctor determine the type and stage of the cancer.

Treatment

Once the diagnosis of vulvar cancer has been made, the doctor will discuss the best treatment options with the patient. Treatment options may include surgery, radiation therapy, chemotherapy, or a combination of these treatments.

Questions for Your Doctor

Risk Factors

Discuss any risk factors you may have for vulvar cancer. These include age, HPV infection, smoking, and a weakened immune system. Your doctor can help you understand your risk and what steps you can take to reduce it.

Screening and Diagnosis

Your doctor can help you understand the screening and diagnostic tests available for vulvar cancer. These tests can help detect the cancer early, when it is most treatable. Your doctor can also explain the different types of biopsies used to diagnose vulvar cancer.

Treatment Options

Discuss the different treatment options available for vulvar cancer with your doctor. These include surgery, radiation therapy, chemotherapy, and targeted therapy. Your doctor can help you understand the risks and benefits of each option and help you decide which is best for you.

Side Effects

Discuss the potential side effects of treatment with your doctor. These can include pain, fatigue, nausea, and changes in sexual function. Your doctor can help you manage these side effects and provide support during treatment.

Follow-up Care

Discuss the follow-up care you will need after treatment. This may include regular check-ups, imaging tests, and blood tests. Your doctor can help you understand what to expect and how to monitor your health after treatment.

Support

Discuss any support you may need during and after treatment. Your doctor can help you find resources to help you cope with the physical and emotional effects of vulvar cancer.

Treatment

Surgery

Surgery is the most common treatment for vulvar cancer. Depending on the stage of the cancer, the type of surgery may vary. For early-stage vulvar cancer, a simple procedure called a vulvectomy may be performed. This involves removing the affected area of the vulva. For more advanced stages of vulvar cancer, a radical vulvectomy may be necessary. This involves removing the entire vulva, including the lymph nodes in the area. In some cases, a lymphadenectomy may also be performed to remove any cancerous lymph nodes.

Radiation Therapy

Radiation therapy is another treatment option for vulvar cancer. This involves using high-energy X-rays to kill cancer cells. Radiation therapy can be used alone or in combination with surgery. It is often used to treat more advanced stages of vulvar cancer.

Chemotherapy

Chemotherapy is a type of treatment that uses drugs to kill cancer cells. It can be used alone or in combination with other treatments. Chemotherapy is often used to treat more advanced stages of vulvar cancer.

Immunotherapy

Immunotherapy is a type of treatment that uses the body's own immune system to fight cancer. It can be used alone or in combination with other treatments. Immunotherapy is often used to treat more advanced stages of vulvar cancer.

Conclusion

Vulvar cancer is a rare form of cancer, but it is important to be aware of the symptoms and treatments available. Surgery, radiation therapy, chemotherapy, and immunotherapy are all treatments that can be used to treat vulvar cancer. It is important to speak with your doctor to determine the best treatment plan for you.

Drugs & Medications

Chemotherapy

Chemotherapy is a type of drug treatment that uses drugs to kill cancer cells. It is often used in combination with other treatments, such as surgery or radiation therapy. Common chemotherapy drugs used to treat vulvar cancer include cisplatin, carboplatin, and paclitaxel.

Targeted Therapy

Targeted therapy is a type of drug treatment that targets specific molecules in cancer cells. It is often used in combination with other treatments, such as chemotherapy or radiation therapy. Common targeted therapy drugs used to treat vulvar cancer include bevacizumab, cetuximab, and trastuzumab.

Immunotherapy

Immunotherapy is a type of drug treatment that uses the body’s own immune system to fight cancer. It is often used in combination with other treatments, such as chemotherapy or radiation therapy. Common immunotherapy drugs used to treat vulvar cancer include ipilimumab, nivolumab, and pembrolizumab.

Hormone Therapy

Hormone therapy is a type of drug treatment that uses hormones to stop the growth of cancer cells. It is often used in combination with other treatments, such as chemotherapy or radiation therapy. Common hormone therapy drugs used to treat vulvar cancer include leuprolide, goserelin, and megestrol.

Conclusion

Vulvar cancer can be treated with a variety of drugs, depending on the stage of the cancer. Common drugs used to treat vulvar cancer include chemotherapy, targeted therapy, immunotherapy, and hormone therapy. It is important to talk to your doctor about the best treatment plan for your individual situation.

Diet

Fruits and Vegetables

Fruits and vegetables are packed with vitamins, minerals, and antioxidants that can help protect your body from disease. Eating a variety of fruits and vegetables every day can help reduce your risk of developing vulvar cancer. Aim to eat at least five servings of fruits and vegetables each day. Choose a variety of colors to ensure you get a wide range of vitamins and minerals.

Whole Grains

Whole grains are an important part of a healthy diet. They are packed with fiber, vitamins, and minerals that can help keep your body healthy. Eating whole grains can help reduce your risk of developing vulvar cancer. Aim to eat at least three servings of whole grains each day. Choose whole grain breads, cereals, and pastas over refined grains.

Lean Proteins

Lean proteins are an important part of a healthy diet. They are packed with essential amino acids that can help keep your body strong and healthy. Eating lean proteins can help reduce your risk of developing vulvar cancer. Aim to eat at least two servings of lean proteins each day. Choose lean meats, fish, eggs, and legumes over fatty proteins.

Healthy Fats

Healthy fats are an important part of a healthy diet. They are packed with essential fatty acids that can help keep your body strong and healthy. Eating healthy fats can help reduce your risk of developing vulvar cancer. Aim to eat at least two servings of healthy fats each day. Choose healthy fats such as olive oil, nuts, and avocados over unhealthy fats.

Limit Alcohol and Processed Foods

Limiting your intake of alcohol and processed foods can help reduce your risk of developing vulvar cancer. Alcohol can increase your risk of developing cancer, and processed foods are often high in unhealthy fats and sugars. Aim to limit your intake of alcohol and processed foods as much as possible.

Conclusion

Eating a healthy, balanced diet can help reduce your risk of developing vulvar cancer. Eating plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats can help keep your body strong and healthy. Limiting your intake of alcohol and processed foods can also help reduce your risk. Talk to your doctor about the best diet for you.

Lifestyle

Maintain a Healthy Weight

Being overweight or obese increases your risk of developing vulvar cancer. Maintaining a healthy weight can help reduce your risk. Eating a balanced diet and exercising regularly can help you maintain a healthy weight.

Practice Safe Sex

Practicing safe sex can help reduce your risk of developing vulvar cancer. Use condoms during sexual intercourse to reduce your risk of contracting a sexually transmitted infection (STI). STIs can increase your risk of developing vulvar cancer.

Avoid Smoking

Smoking increases your risk of developing vulvar cancer. If you smoke, quitting can help reduce your risk. Talk to your doctor about ways to quit smoking.

Get Regular Check-Ups

Getting regular check-ups can help detect vulvar cancer in its early stages. Talk to your doctor about how often you should get checked for vulvar cancer.

Practice Good Hygiene

Practicing good hygiene can help reduce your risk of developing vulvar cancer. Wipe from front to back after using the bathroom, and avoid using scented products on the vulva. Wear cotton underwear and avoid tight-fitting clothing.

Talk to Your Doctor

If you have any concerns about your risk of developing vulvar cancer, talk to your doctor. They can provide advice and support to help you reduce your risk and manage the condition.