In the early stages, the symptoms of cancer may not be apparent The symptoms, however, may appear gradually. The common symptoms includ

• Lump in the vulva or groin area
• Change in colour or texture of the skin in the vulva
• Itching or burning in the vulva
• Pain during urination
• Persistent ulcer in the vulva
• Unusual bleeding
• Genital warts

The exact cause of vulvar cancer is not known. The possible causes, however, are:

• HPV infection
• Age
• Poor immunity
• Smoking
• Vulvar intraepithelial neoplasia

Vulvar cancer is diagnosed by:

• Physical examination: The doctor will examine to check for the signs of cancer.
• Colposcopy: This procedure will be performed to examine the vulva, vagina, and cervix. In this procedure, the doctor will insert a tool called a speculum into the vagina to get a magnified image of the area. If cancerous lesions are found, a biopsy will be recommended.
• Biopsy: The doctor will retrieve a small tissue from the vulva and examine for the presence of cancerous cells.
• Imaging tests: Various imaging tests such as ultrasound, CT scan, and MRI will be performed to gauge the size, location, and stage of the tumor.

The treatment strategy for vulvar cancer depends on the stage and type of cancer, age, and overall health of the patient. Surgery is usually the mainstay of cancer. This is combined with chemotherapy. radiation therapy, and immunotherapy.

• Surgery: Surgery will be performed to remove the tumor, or a part of the vulva depending on the stage and severity of the cancer.
• Radiation therapy: High-energy X-rays will be used to destroy cancer cells.
• Chemotherapy: High doses of anti-cancer drugs will be administered to destroy cancer cells. In some cases, chemotherapy is combined with radiation therapy to remove cells from the body.
• Targeted therapy: Certain drugs will be administered to target specific protein particles in the cancerous cells. This therapy is considered in the chances of relapse.