
How fast does vulvar cancer grow?
Most of these cancers grow slowly, remaining on the surface for years. However, some (for example, melanomas) grow quickly. Untreated, vulvar cancer can eventually invade the vagina, the urethra, or the anus and spread into lymph nodes in the pelvis and abdomen and into the bloodstream. Risk Factors of Vulvar Cancer
What is vulvar cancer?
Cancer of the vulva is a rare disease, accounting for 0.6 percent of all cancers in women, and it may form slowly over many years. Most vulvar cancers are squamous cell carcinomas. Melanoma is another common type of vulvar cancer that is usually found in the labia minora or clitoris. Other types of vulvar cancer include:
What are the stages of vulvar cancer?
The stage of a cancer describes the amount of cancer in the body. It helps determine how serious the cancer is and how best to treat it. Doctors also use a cancer's stage when talking about survival statistics. Vulvar cancer stages range from stage I (1) through IV (4).
How does vulvar cancer spread?
The resulting excess cells can accumulate and form a mass or tumor, which may become cancerous and spread to other areas of the body. Vulvar cancer is classified by the type of cell in which the cancerous changes originated.

How do you know if vulvar cancer has spread?
Pelvic exam under anesthesia: Drugs may be used to make you sleep while the doctor takes a close look at the vulva and looks for signs that the cancer has spread. MRI scan: Uses radio waves and strong magnets instead of x-rays to make detailed pictures. This test may be used to see if the cancer has spread.
Does vulvar cancer come on quickly?
Vulvar cancer usually develops slowly over several years. Precancerous lesions usually develop first and are discovered as abnormal cell growth in the outer most layer of skin. These precancerous lesions are called vulvar intraepithelial neoplasia (VIN).
How long do you live with vulvar cancer?
Survival rates can give you an idea of what percentage of people with the same type and stage of cancer are still alive a certain amount of time (usually 5 years) after they were diagnosed....5-year relative survival rates for vulvar cancer.SEER Stage5-Year Relative Survival RateDistant19%All SEER stages combined71%2 more rows•Feb 4, 2019
Is vulvar cancer a slow growing cancer?
Vulvar cancer begins in the tissues of the vulva, the external portion of the female genitalia. It's typically a slow-growing cancer. The disease most often begins in the labia majora (the outer vaginal lips), though it may also affect the labia minora (inner vaginal lips), clitoris or vaginal glands.
What were your first symptoms of vulvar cancer?
SymptomsItching that doesn't go away.Pain and tenderness.Bleeding that isn't from menstruation.Skin changes, such as color changes or thickening.A lump, wartlike bumps or an open sore (ulcer)
What does early vulvar cancer look like?
These can include: An area on the vulva that looks different from normal – it could be lighter or darker than the normal skin around it, or look red or pink. A bump or lump, which could be red, pink, or white and could have a wart-like or raw surface or feel rough or thick. Thickening of the skin of the vulva.
What are my chances of surviving vulvar cancer?
The 5-year survival rate for people with vulvar cancer is 71%. However, survival rates depend on several factors, including the type of vulvar cancer and the stage of disease at the time it is diagnosed. The 5-year survival rate for vulvar cancer that has not spread beyond the vulva is almost 87%.
Does vulvar cancer make you feel sick?
People with vulvar cancer may experience the following symptoms or signs. A symptom is something that only the person experiencing it can identify and describe, such as fatigue, nausea, or pain. A sign is something that other people can identify and measure, such as a fever, rash, or an elevated pulse.
Does vulvar cancer have an odor?
Since vulvar cancer develops on the surface of the vulva, it may have a particular smell. However, during the initial stages of vulvar cancer, you may not experience any symptoms. In advanced stages, you may experience vaginal discharge with a foul smell.
What is vulvar cancer pain like?
Severe burning, itching or pain. An open sore that lasts for more than a month. Skin of the vulva looks white and feels rough.
What can mimic vulvar cancer?
Benign conditions that can mimic vulvar cancer are the vulvar dystrophies (lichen sclerosis and hyperplasia), dysplasia, and condyloma.
What age does vulvar cancer occur?
Age. The risk of vulvar cancer goes up as women age. Less than 20% of cases are in women younger than age 50, and more than half occur in women over age 70. The average age of women diagnosed with invasive vulvar cancer is 70, whereas women diagnosed with non-invasive vulvar cancer average about 20 years younger.
What can mimic vulvar cancer?
Benign conditions that can mimic vulvar cancer are the vulvar dystrophies (lichen sclerosis and hyperplasia), dysplasia, and condyloma.
What are the chances of surviving vulvar cancer?
The 5-year survival rate for vulvar cancer that has not spread beyond the vulva is almost 87%. An estimated 60% of vulvar cancers are diagnosed at this local stage. For cancer that has spread to surrounding tissues or organs and/or to the regional lymph nodes, the 5-year survival rate is 49%.
How big is a vulvar cancer lump?
It is either more than 2 cm (0.8 inches) or it has grown more than 1 mm (0.04 inches) into nearby tissue (stroma) (T1b). It has not spread to nearby lymph nodes (N0) or to distant sites (M0). Stage II (T2, N0, M0): The cancer can be any size.
Can a pap smear detect vulvar cancer?
The Pap test does not screen for vaginal or vulvar cancers. Since there is no simple and reliable way to screen for any gynecologic cancers except cervical cancer, it is especially important to recognize warning signs, and learn what you can do to reduce your risk.
What is the stage of cancer?
The stage of a cancer describes the amount of cancer in the body. It helps determine how serious the cancer is and how best to treat it. Doctors also use a cancer's stage when talking about survival statistics. Vulvar cancer stages range from stage I (1) through IV (4). As a rule, the lower the number, the less the cancer has spread.
What does it mean when a person has stage IV cancer?
As a rule, the lower the number, the less the cancer has spread. A higher number, such as stage IV, means cancer has spread more. Although each person’s cancer experience is unique, cancers with similar stages tend to have a similar outlook and are often treated in much the same way.
How many lymph nodes does a cancerous tumor spread to?
It has either spread to a single nearby lymph node with the area of cancer spread 5 mm or more OR it has spread to 1 or 2 nearby lymph nodes with both areas of cancer spread less than 5 mm (N1).
Where is cancer found in the body?
Cancer is in the vulva or perineum or both (T1) and may be growing into the anus, lower vagina, or lower urethra (T2). The cancer has spread to nearby lymph nodes and has become stuck (fixed) to the underlying tissue or has caused an ulcer (s) to form on the lymph node (s) (ulceration) (N3).
Is Vulvar cancer complex?
Vulvar cancer staging can be complex, so ask your doctor to explain it to you in a way you understand.
Is AJCC staged like melanoma?
These systems are not used to stage vulvar melanoma, which is staged like melanoma of the skin. Information about melanoma staging can be found in Melanoma Skin Cancer.
How rare is vulvar cancer?
Vulvar cancer is very rare, accounting for 0.6 percent of all cancers in women. In the U.S., close to 5,000 women are diagnosed with vulvar cancer each year. The HPV vaccine can prevent the strains of HPV responsible for most cervical, vaginal and vulvar cancers.
How is vulvar cancer diagnosed?
Vulvar cancer is diagnosed by biopsy, removing a small piece of tissue for exam in a lab by a pathologist.
What is the vulva?
The vulva is the external portion of the female genital organs. It includes:
What is a gynecologic oncologist?
Gynecologic oncologists are subspecialists with advanced training in the diagnosis, treatment and surveillance of female cancers, including vulvar cancer.
What are the factors that increase the risk of developing vulvar cancer?
The following factors may increase a woman’s risk of developing vulvar cancer: Age: Of the women who develop vulvar cancer, over 80 percent are over 50 , and half are over 70. Infection with certain types of HPV. HIV infection.
What type of cancer is a vulvar?
Other types of vulvar cancer include: Adenocarcinoma. Paget disease. Sarcomas.
What are the risks of developing vulvar cancer?
Risk factors that may increase a woman’s chances of developing vulvar cancer include age, infection with certain types of HPV, smoking and HIV infection. Symptoms of vulvar cancer include severe itching, burning and pain on the vulva.
How long do people with Vulvar cancer live?
Survival rates can give you an idea of what percentage of people with the same type and stage of cancer are still alive a certain amount of time (usually 5 years) after they were diagnosed.
What is the relative survival rate of vulvar cancer?
For example, if the 5-year relative survival rate for a specific stage of vulvar cancer is 90% , it means that women who have that cancer are, on average, about 90% as likely as women who don’t have that cancer to live ...
What is localized cancer?
Localized: The cancer is only in the vulva, without spread to lymph nodes or nearby tissues. This includes stage I cancers. Regional: The cancer has spread to nearby lymph nodes or tissues, but hasn’t spread to distant organs. This includes mainly stage II, III and IVA cancers.
Can cancer survival rates be predicted?
Keep in mind that survival rates are estimates and are often based on previous outcomes of large numbers of people who had a specific cancer, but they can’t predict what will happen in any particular person’s case. These statistics can be confusing and may lead you to have more questions.
Is vulvar cancer better for women?
Women now being diagnosed with vulvar cancer may have a better outlook than these numbers show. Treatments improve over time, and these numbers are based on people who were diagnosed and treated at least five years earlier.
What is the average age for vulvar cancer?
The risk of vulvar cancer increases with age, though it can occur at any age. The average age at diagnosis is 65. Being exposed to human papillomavirus (HPV). HPV is a sexually transmitted infection that increases the risk of several cancers, including vulvar cancer and cervical cancer.
What type of cancer is vulvar?
The most common types of vulvar cancer include: Vulvar squamous cell carcinoma. This cancer begins in the thin, flat cells that line the surface of the vulva. Most vulvar cancers are squamous cell carcinomas. Vulvar melanoma. This cancer begins in the pigment-producing cells found in the skin of the vulva.
What causes vulvar cancer?
Although the exact cause of vulvar cancer isn't known, certain factors appear to increase your risk of the disease, including: 1 Increasing age. The risk of vulvar cancer increases with age, though it can occur at any age. The average age at diagnosis is 65. 2 Being exposed to human papillomavirus (HPV). HPV is a sexually transmitted infection that increases the risk of several cancers, including vulvar cancer and cervical cancer. Many young, sexually active people are exposed to HPV, but for most the infection goes away on its own. For some, the infection causes cell changes and increases the risk of cancer in the future. 3 Smoking. Smoking increases the risk of vulvar cancer. 4 Having a weakened immune system. People who take medications to suppress the immune system, such as those who've undergone organ transplant, and those with conditions that weaken the immune system, such as human immunodeficiency virus (HIV), have an increased risk of vulvar cancer. 5 Having a history of precancerous conditions of the vulva. Vulvar intraepithelial neoplasia is a precancerous condition that increases the risk of vulvar cancer. Most instances of vulvar intraepithelial neoplasia will never develop into cancer, but a small number do go on to become invasive vulvar cancer. For this reason, your doctor may recommend treatment to remove the area of abnormal cells and periodic follow-up checks. 6 Having a skin condition involving the vulva. Lichen sclerosus, which causes the vulvar skin to become thin and itchy, increases the risk of vulvar cancer.
How to reduce the risk of vulvar cancer?
To reduce your risk of vulvar cancer, reduce your risk of the sexually transmitted infection HPV: Use a condom every time you have sex. Condoms may reduce your risk of contracting HPV but can't fully protect against it. Get the HPV vaccine.
How is vulvar cancer treated?
Vulvar cancer treatment usually involves surgery to remove the cancer and a small amount of surrounding healthy tissue. Sometimes vulvar cancer surgery requires removing the entire vulva. The earlier vulvar cancer is diagnosed, the less likely an extensive surgery is needed for treatment.
Why is my vulva thin?
Having a skin condition involving the vulva. Lichen sclerosus, which causes the vulvar skin to become thin and itchy, increases the risk of vulvar cancer.
How does cancer start?
In general, doctors know that cancer begins when a cell develops changes (mutations) in its DNA. The DNA contains the instructions that tell a cell what to do. The mutations tell the cell to grow and divide rapidly. The cell and its offspring go on living when other normal cells would die.
How to tell if you have vulvar cancer?
Some possible signs include: Persistent itching, pain or burning in the vulvar area. A patch of vulvar skin with an unusual texture or color. A lump or enlarged lymph node in the vulvar area or groin.
How to diagnose vulva cancer?
Diagnosis. For a vulvar cancer diagnosis, a physician will typically begin by performing a thorough physical examination, including a pelvic exam. After visually assessing the vulva, the physician will manually feel the vagina, uterus, ovaries, bladder and rectum to check for abnormalities.
What is the name of the skin cancer that forms in the thin, flat cells that line the vulvar surface?
Squamous cell carcinoma. A type of skin cancer that forms in the thin, flat cells that line the vulvar surface. Verrucous carcinoma. A subtype of squamous cell carcinoma that resembles a wart. Adenocarcinoma.
What are the different types of vulvar cancer?
Along with many other factors, physicians consider the classification of the cancer when evaluating treatment options. The types of vulvar cancer include: Squamous cell carcinoma. A type of skin cancer that forms in the thin, ...
What is the best way to diagnose vulvar cancer?
Imaging. A computed tomography (CT) scan, positron emission tomography (PET) scan or magnetic resonance imaging (MRI) scan can help a physician measure and evaluate a tumor. A chest X-ray can help a physician determine if vulvar cancer has spread to the lungs. Endoscopy.
What is the procedure to remove vulvar tissue?
Biopsy. A physician removes a small amount of suspicious vulvar tissue, then sends the sample to a lab to be examined by a pathologist under a microscope for evidence of cancer.
Why do vulva cells grow?
The causes of vulvar cancer are not well understood. In general, the cancer forms when healthy cells in the vulva undergo abnormal DNA changes that cause them to grow and divide very rapidly.
What are the symptoms of vulvar cancer?
Symptoms of vulvar cancer include itching and pain.
How long does it take for a vulvar melanoma to show up?
It takes several years for noticeable symptoms to develop. Vulvar melanoma accounts for about 5 percent of all vulvar cancers. A melanoma presents as a dark patch of discoloration. There is a high risk of this type of cancer spreading to other parts of the body, a process known as metastasis.
What is the name of the cancer that affects the vulva?
Vulvar cancer, or vulval cancer, is a relatively rare type of cancer that affects the vulva, the external genital organs that protect a woman’s reproductive system. It is most likely to appear in the outer vaginal lips. Typical symptoms include a lump, itching, and bleeding.
How many women died from vulvar cancer in 2017?
The American Cancer Society predict that in 2017 there will be about 6,020 diagnoses of vulvar cancers in the United States, and that 1,150 women will die of vulvar cancer.
What is the name of the cancer that spreads to the outer lips of the vagina?
Vulvar cancer most commonly affects the outer lips of the vagina. Cancer that originates in the vulva is called primary vulvar cancer. If it starts in another part of the body and then spreads to the vulva, it is called secondary vulvar cancer. There are several types of vulvar cancer.
What is vulva cancer?
Vulvar cancer, or vulval cancer, is a relatively rare type of cancer that affects the vulva, the external genital organs that protect a woman’s reproductive system. It is most likely to appear in the outer vaginal lips. Typical symptoms include a lump, itching, and bleeding.
How does cancer move?
a cancerous cell manages to move throughout the body using the blood or lymph systems, destroying healthy tissue via a process called invasion.
How long after vulvar cancer is diagnosed can you be alive?
If vulvar cancer is detected and treated early, about 3 of 4 women have no sign of cancer 5 years after diagnosis. The percentage of women who are alive 5 years after diagnosis and treatment (5-year survival rate) depends on whether and how far the cancer has spread:
Where does vulvar cancer develop?
Vulvar cancer, usually a skin cancer, develops in the area around the opening of the vagina. The cancer may appear to be a lump, an itchy area, or a sore that does not heal. A sample of the abnormal tissue is removed and examined (biopsied). All or part of the vulva and any other affected areas are removed surgically.
What percentage of vulvar cancers are squamous?
About 90% of vulvar cancers are squamous cell carcinomas, which develop in the flat cells that form the outermost layer of skin, and 5% are melanomas, which develop in the pigment-producing cells of the skin (melanocytes). The remaining 5% include adenocarcinomas (which develop from gland cells), basal cell carcinomas (which rarely spread), ...
What does a melanoma look like?
Melanomas may be bluish black or brown and raised. Some sores look like warts. Many women have had itching in the vulvar area for a long time. Typically, vulvar cancer causes little discomfort, but itching is common. Eventually, the lump or sore may bleed or produce a watery discharge (weep).
How to treat vulva cancer?
Treatment of Vulvar Cancer. Removal of all or part of the vulva. Usually removal of nearby lymph nodes. For more advanced cancers, surgery and radiation therapy, often with chemotherapy. All or part of the vulva is surgically removed (a procedure called vulvectomy). Nearby lymph nodes are usually also removed.
What does it mean when your vulva is red?
Redness or a change in skin color of the vulva may be precancerous (indicating that cancer is likely to eventually develop). Vulvar cancer usually causes unusual lumps or flat, red, or flesh-colored sores that can be seen and felt and that do not heal. Sometimes the flat sores become scaly, discolored, or both.
How to diagnose vulvar cancer?
Doctors diagnose vulvar cancer by taking a sample of the abnormal skin and examining it (biopsy). The biopsy enables doctors to determine whether the abnormal skin is cancerous or just infected or irritated. The type of cancer, if present, can also be identified, helping doctors develop a treatment plan.

What Is A 5-Year Relative Survival Rate?
- A relative survival rate compares women with the same type and stage of vulvar cancer to people in the overall population. For example, if the 5-year relative survival ratefor a specific stage of vulvar cancer is 90%, it means that women who have that cancer are, on average, about 90% as likely as women who don’t have that cancer to live for at least 5 years after being diagnosed.
Where Do These Numbers Come from?
- The American Cancer Society relies on information from the SEER* database, maintained by the National Cancer Institute (NCI), to provide survival statistics for different types of cancer. The SEER database tracks 5-year relative survival rates for vulvar cancer in the United States, based on how far the cancer has spread. The SEER database, however, does not group cancers by AJCC T…
Understanding The Numbers
- Women now being diagnosed with vulvar cancer may have a better outlook than these numbers show.Treatments improve over time, and these numbers are based on people who were diagnosed and treated at...
- These numbers apply only to the stage of the cancer when it is first diagnosed. They do not apply later on if the cancer grows, spreads, or comes back after treatment.
- Women now being diagnosed with vulvar cancer may have a better outlook than these numbers show.Treatments improve over time, and these numbers are based on people who were diagnosed and treated at...
- These numbers apply only to the stage of the cancer when it is first diagnosed. They do not apply later on if the cancer grows, spreads, or comes back after treatment.
- These numbers don’t take everything into account.Survival rates are grouped based on how far the cancer has spread, but your age, overall health, how well the cancer responds to treatment, and othe...