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Vulval cancer

Carcinoma vulvae · Rakovina zevních rodidel (vulvy)

female only

What it is

A cancer of the vulval skin in older women (after lichen sclerosus) or younger women (after HPV); an itch and a sore that do not heal are the warnings.

Symptoms & signs

  • Persistent itch
  • a lump, ulcer or wart-like growth
  • bleeding or discharge
  • pain or burning

🚩 Get help if…

  • see a doctor soon Itch of the vulva lasting over 3 weeks
  • see a doctor soon Sore, lump or wart-like growth on the vulva that won't heal
  • see a doctor soon Bleeding from the vulva, not from the period
  • see a doctor soon Lump in the groin

Where it strikes

Medical treatment

  • Biopsy
  • wide local excision
  • sentinel lymph-node biopsy
  • radiotherapy or chemoradiation
  • treat lichen sclerosus to prevent it

Natural & lifestyle

  • Yearly checks with lichen sclerosus
  • HPV vaccination
  • no smoking

Emerging & experimental

  • Immunotherapy for advanced disease
  • imiquimod for precancer

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Herbal creams — anecdotal; they delay diagnosis anecdotal / traditional
  • Curcumin — lab studies early / small studies
  • Vitamin D — low levels linked; untested early / small studies

ICD codes