Vulvar Cancer Treatment

One kind of cancer that begins in the vulva, the exterior portion of the female genitalia, is called vulvar cancer. Tumors are caused when aberrant cells in this location grow out of control. Common causes include long-term illnesses like lichen sclerosus and chronic irritation or infection, such as human papillomavirus (HPV). Age, a compromised immune system, and smoking are other risk factors. In the vulvar region, bumps, blisters, or itching may be early indicators. Effective management and increased chances of recovery depend on early detection and treatment for vulvar cancer.

About Vulvar Cancer

The exterior portion of the female genitalia is where vulvar cancer first appears. It commonly shows as lumps, ulcers, or skin abnormalities on the vulva. Chronic inflammation and HPV infection are risk factors. Early detection and treatment are critical for effective management and boosting recovery chances.

Symptoms of Vulvar Cancer

The exterior portion of the female genitalia is affected by vulvar cancer, which can cause a variety of symptoms. Better results may result from early recognition of them. The following are typical signs of vulvar cancer:

  • Lumps or Growths: A lump or growth on the vulva is one of the most typical symptoms. This lump could have an uneven shape or be hard and substantial. It may be obvious and occasionally painful.
  • Sores or Ulcers: Vulvar cancer may result in non-healing sores or ulcers on the vulva. These sores may bleed, hurt, and be open.
  • Itching or Discomfort: Another symptom is itching in the vulvar region. This constant, intense itching can be uncomfortable.
  • Skin Color Changes: Keep an eye out for any unusual redness, discolouration, or thickening of the vulva’s skin. The skin’s appearance could differ from that of the surroundings.
  • Abnormal Discharge: The vulva may produce an abnormal discharge that is clear, bloody, or smells strange. Other symptoms may accompany this discharge.

  • Painful Sensation: Persistent pain or tenderness in the vulvar region, especially if it has no apparent reason, may indicate vulvar cancer.

  • Swelling: If cancer spreads to neighboring lymph nodes, swelling in the vulva or groin area may happen.

Causes of Vulvar Cancer

When aberrant cells in the vulva, the exterior portion of the female genitalia, develop out of control, it can lead to vulvar cancer. The risk of vulvar cancer can be raised by a number of variables, albeit the precise cause is not always known:

  • Human Papillomavirus (HPV) Infection: Carrying an HPV infection, particularly those of types 16 and 18, carries a high risk. The sexually transmitted virus HPV can alter vulvar cells, which over time can result in cancer.
  • Chronic Irritation: The risk of cancer can be raised by persistent vulva irritation or inflammation. Vulvar cancer risk is increased by conditions such as lichen sclerosus, which causes skin changes and inflammation.
  • Smoking: There is a link between smoking and a higher risk of vulvar cancer. Tobacco contains toxic compounds that can injure vulva cells and promote the growth of cancer.
  • Age: Older women, especially those over 60, are more likely to develop vulvar cancer. Because of the accumulation of cellular alterations over time, the risk rises with age.

  • Weakened Immune System: Women who have HIV/AIDS or other immune system disorders are more vulnerable. An impaired immune system might not be able to fight off infections or uncontrollably growing cells.

  • History of Other Cancers: Women who have had cancers of the cervix, vagina, or other organs of the reproductive system are at higher risk of having vulvar cancer.

  • Genetic Factors: Genetic mutations or a family history of cancer may raise the risk. Vulvar cancer may be more common in women who have specific hereditary abnormalities.

Types of Vulvar Cancer

Vulvar cancer is a type of cancer that affects the external part of the female genitalia, known as the vulva. There are several types of vulvar cancer, each with different characteristics:

  1. Squamous Cell Carcinoma
    • Most Common Type: This is the most common form of vulvar cancer. It starts in the squamous cells, which are thin, flat cells that make up the outer layer of the vulva. It often appears as a sore or lump on the vulva that does not heal.
  2. Melanoma
    • Pigmented Cancer: Melanoma begins in the melanocytes, the cells that produce pigment in the skin. It is less common but can be more aggressive. It may appear as a dark, irregularly shaped spot or mole on the vulva.
  3. Basal Cell Carcinoma
    • Skin Cancer: This type starts in the basal cells, which are located in the lower part of the skin’s outer layer. Basal cell carcinoma usually grows slowly and is less likely to spread, but it can still cause significant local damage.
  4. Sarcoma
    • Rare Type: Sarcoma originates in the connective tissues of the vulva, such as muscles or blood vessels. It is a rare form of vulvar cancer and may appear as a lump or swelling in the vulvar area.
  5. Paget’s Disease of the Vulva
    • Special Condition: Paget’s disease is a rare type of vulvar cancer that starts in the skin cells of the vulva. It often appears as a red, scaly rash that might be itchy or painful. It can be associated with other types of vulvar cancer.

Prevention of Vulvar Cancer

It’s important to be proactive in lowering your risk and maintaining good vulvar health in order to prevent vulvar cancer. Even if there’s no way to stop every case, there are steps you can take to greatly reduce your risk:

  1. Regular Check-Ups
    • Gynecological Exams: Regular visits to a gynecologist can help detect early signs of vulvar cancer. Routine pelvic exams and Pap smears are important for monitoring any changes in the vulva or cervix.
  2. HPV Vaccination
    • Get Vaccinated: Human papillomavirus (HPV) is a major risk factor for vulvar cancer. Getting the HPV vaccine can protect against the types of HPV that are most commonly linked to vulvar cancer.
  3. Safe Sexual Practices
    • Practice Safe Sex: Using condoms and limiting the number of sexual partners can reduce your risk of HPV infection, which is linked to vulvar cancer. Safe sexual practices are key to prevention.
  4. Quit Smoking
    • Avoid Tobacco: Smoking is a significant risk factor for vulvar cancer. Quitting smoking can improve your overall health and reduce your risk of developing vulvar cancer and other types of cancer.
  5. Manage Chronic Conditions
    • Skin Conditions: If you have chronic skin conditions like lichen sclerosus, seek regular medical Vulvar Cancer Treatment. Managing these conditions can help reduce irritation and the risk of cancerous changes.

Procedure of Vulvar Cancer

Treatment: A number of factors, such as the stage and severity of the disease, influence how long vulvar cancer takes to treat. Surgical procedures such as radical vulvectomy or extensive local excision may be done to remove the cancerous tissue. In certain cases, lymph node dissection may also be necessary. In more severe situations, chemotherapy and radiation therapy may be performed alone or in combination with surgery. Additional therapies under consideration for vulvar cancer include targeted therapy and immunotherapy. The prognosis for vulvar cancer patients can be improved with early detection and careful treatment planning.

  • Diagnosis: A thorough assessment is carried out in order to determine the stage and confirm the occurrence of vulvar cancer. This includes imaging testing (such as MRI or CT scans), a pelvic examination, and a biopsy of any worrisome lesions.
  • Multidisciplinary Team Consultation: A team of medical professionals, including gynecologic oncologists, radiation oncologists, and medical oncologists, collaborates to develop a personalized Vulvar Cancer Treatment plan that meets the specific needs of the patient.
  • Surgery: For vulvar cancer, surgical options include lymph node dissection (removing adjacent lymph nodes to assess for spread), vulvectomy (removing the vulva entirely or partially), and local excision (removing the tumor plus a limited margin of surrounding tissue).
  • Radiation therapy: In situations where surgery is not practical or to enhance surgical outcomes, radiation therapy can be performed either alone or in conjunction with surgery to specifically target and eradicate cancer cells.
  • Chemotherapy: Chemotherapy drugs can be given either before or after surgery to reduce tumor size, eradicate cancer cells, and lessen the likelihood of recurrence when the cancer has spread beyond the vulva.

  • Immunotherapy: Physicians may prescribe immunotherapy drugs to boost the body’s defenses against cancer cells and support the battle against the illness.

  • Follow-up Care: Following treatment for Vulvar Cancer, regular follow-up appointments are required to assess therapy effectiveness, manage side effects, and monitor for recurrences. Rehabilitation and supportive care may also be provided to help patients cope with the physiological and psychological side effects of their vulvar cancer treatment.

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