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What is vulval cancer?

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  • What is vulval cancer?

    What is vulval cancer?

    Cancer of the vulva - the external opening of the vagina - is considered uncommon. It mostly affects women over the age of 50, although it's becoming more common in younger women.
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    Vulval cancer symptoms

    The symptoms of vulval cancer may include:
    • Itching, burning and soreness around the vulva
    • A lump or sore visible on the skin
    • Pain or soreness in the area around the vulva
    • Bleeding or discharge
    • Pain or burning when you pass urine

    Any of the symptoms listed above can also be associated with other non-cancerous conditions. If you do have any of these symptoms, you should talk to your doctor.
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    Vulval cancer causes

    The cause of vulval cancer has yet to be pinpointed, but some of the suggested causes include:
    • Vulval intra-epithelial neoplasia (VIN), a pre-cancerous change in the skin of the vulva. It isn't cancer, but it can progress to cancer (although most cases won't). The most common symptom is itching. Areas affected by VIN may appear swollen, with thicker areas of skin and red, white or dark-coloured patches.
    • The human papilloma virus (HPV) is thought to cause three or five out of 10 cases of vulval cancer. HPV is passed on through sexual activity. There are many kinds of HPV and some are considered more high risk than others. (The types that cause genital warts are only rarely linked to genital cancers, so genital warts aren't a risk factor for vulval cancer.) The first sign of high-risk HPV infection is often a pre-cancerous change in the surface or mucosa of the affected area. You can find out more about this condition from Macmillan Cancer Support.
    • Some chronic skin conditions and inflammation are thought to be associated with an increased risk of developing cancer of the vulva. These are lichen sclerosus (also called lichen sclerosis), lichen planus and Paget's disease.
    • Smoking may increase the risk of developing both VIN and cancer of the vulva.

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    Diagnosing vulval cancer

    Your GP will refer you to a specialist and may arrange for you to have blood tests.
    An examination will be performed to identify any abnormal areas of tissue. An internal examination will also be carried out to check the vagina and cervix for any abnormalities. A biopsy will be taken to establish a diagnosis.
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    Vulval cancer treatments

    The treatment options will depend on the type of cancer and its position and size.
    Surgery is the main treatment for cancer of the vulva. Chemotherapy and radiotherapy may also be required.
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