Vulval cancer

Vulval cancer is a malignant tumour of the external genitals, usually a squamous cell carcinoma. A persistent itchy, painful, thickened, discoloured or ulcerated area, a lump or unexplained bleeding must be investigated, even if embarrassment or a known skin condition makes the symptom seem explainable. Diagnosis usually requires a targeted biopsy; treatment is provided by a gynaecological oncology team.

• Persistent itching, burning, pain or tenderness in one defined vulval area, particularly if usual skin treatment does not help.
• A lump, thickening, wart-like growth, ulcer, crack or non-healing wound on a labium, around the clitoris or near the vaginal opening.
• Examine a persistent area with a mirror or photograph and record changes, but do not scratch, cut or self-treat a suspicious area with wart remover, acid or bleach.
• Wash gently with water, pat dry, avoid perfumed products and use only prescribed skin treatment while investigations are ongoing.
• Make an appointment soon for a lump, ulcer, thickening, wart-like growth, changing pigmented patch or non-healing wound.
• For urgent GP care outside normal opening hours, call HAP 9252. Call Ambulance 912 only for an immediately life-threatening situation.