CARCINOMA OF THE VULVA

This accounts for 3–4% of all gynaecological cancers.

Clinical Features

  • Majority of patients present after the menopause.
  • It may be preceded by pruritic conditions of the vulva.
  • Presents as an ulcer on the vulva.
  • May have inguinal lymphadenopathy.
  • Diagnosis is by clinical features and confirmed by biopsy and histology.
  • Differential diagnoses include granuloma inguinale, lymphogranuloma
    venereum, syphilitic chancre or gummata, and chancroid.

Management

  • Suspicious lesions should be referred to a gynaecologist.
  • Treatment is by surgery (radical vulvectomy).
  • Extent of surgery will depend on the primary tumour.
  • Radiotherapy and chemotherapy and surgery for advanced disease.