Vulval Cancer
The vulva is the name of the external genitals on a woman’s body. It includes the clitoris, the labia majora (the larger, outer lips around the vagina) and labia minora (the smaller, inner lips around the vagina). Vulvar cancer grows in the clitoris or labia.
Each year in Australia about 280 women will get a vulval cancer, there are two main pathways for this, one being associated with the HPV virus and the other being associated with chronic inflammatory skin conditions of the vulva, most notably lichen schlerosis.
If the cancer is detected early there is a good chance of cure, if it is more advanced treatment is still possible however the chance of cure is lower.
Causes
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Age >60
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Smoking
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Vulval skin conditions such as lichen sclerosis
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A history of cervical or vaginal pre-cancer or cancer
Symptoms
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A new lump or bump on your vulva
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Itching, burness or pain on your vulva
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Unusual bleeding or discharge
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A mole on your vulva that has changed shape or colour
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Red, white or dark patches on your vulva
Diagnosis
It is important to seek early assessment if you develop these symptoms. Dr Goulding will examine you promptly in the rooms and perform a vulvoscopy (looking at the vulva under magnification) and biopsies (taking a small sample of tissue under local anaesthetic) to ensure you are diagnosed quickly and efficiently. If a diagnosis is confirmed following this additional investigations are ordered including scans (PET CT) and blood tests
Treatment options
The type of treatment will depend on the size of the cancer, if it has spread, where in the vulva it started, your age, health and medical history. Options include:
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Surgery
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Radiotherapy
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Chemotherapy
Dr Goulding specialises in vulval cancers and conditions and is a skilled surgeon for the management of vulval cancer and pre cancer.