Vulva is the external reproductive organs of women and formed of small and large lips, the clitoris and the vagina inlet. In general, vulva, is referred by the names of "external genitalia (external genitalia)," or "external genitalia" .
Vulvar cancer, is defined as "Vulvar CA" it is expressed as the cancerous vulvar skin.
Vulvar cancer incidence in women is 3 percent. It Usually occurs a few years after menopause. Vulvar cancer s are "squamous cell" cancers mostly composed of stratified epithelium. Paget's disease, which is also another specific type of cancer, basal cell cancer and malignant melanoma can also be seen in vulva.
Just as in the cervical and vaginal cancer, vulvar cancer is thought to be originating from "Human Papilloma Virus (HPV)" infection of sexually transmitted diseases.
In the first stage vulvar cancer grows locally and begins to cause damage to the surrounding tissues and organs.
Cancer, initially presents itself in vulva in the form of ulcer or tumor. In later times, it reaches to organs in vulvar region and to the urinary tract, anus and vagina. Finally it reaches to the lymph vessels and begins to spread to the body which means metastasis start to develop.
The first symptom of vulvar cancer is having severe itching which doesn’t recover despite treatment. "pruritus (pruritus)” refers to Itching in the Latin language, and vulvar pruritus refers to the itching occurring in vulva.
vaginal fungal infections are the first conditions to be considered as a cause of vulvar itching. For this reason, most patients are treated with misdiagnosis of vaginal fungal infection and waste time for the potential treatment of vulvar cancer.
Vulvar cancer often show itself with severe itching, hardness, color changes and swellings.
If the complaints are still present despite the medication treatment attempted for vaginal itching which has been continuing for a long time, biopsy should be obtained against the risk of vulvar cancer.
Similarly with other cancers, the definite diagnosis of the vulvar cancer is made following to pathologic examination of the sample obtained from the suspected region. The procedure of obtaining sample from the suspected region is called biopsy.
The procedure of sending the sample obtained from the vulva to the pathologic test is called “vulvar biopsy”. Vulvar biopsy, is the process of taking sample under local anesthesia at a classic gynecological examination table in cases where the risk of vulvar cancer is present . It is performed in a very short of time and since it is under local anesthesia, the pain is negligible.
A device called “colposcope” is used for the recognition of vulvar cancer and obtaining sample from the correct region.
This device, called as colposcope, is an extremely important device in detection of cervical and vaginal cancers. While examining the vulvar region, colposcopy make the area look 10 to 40 times larger than normal.
Surgical removal of the vulva is the main treatment method for vulvar cancer. Removal of inguinal lymph nodes also can be added to the procedure. Postoperative radiotherapy is used in advanced cases.