Introduction to malignant disease of the vulva
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Pathological specimen showing radical vulvectomy for carcinoma
of the vulva. (Wellcome Photo Library.)
Vulval cancer is a rare disease affecting three in 100,000 women per year. Due to an ageing population, the incidences are rising year by year. It is not just older women that are being affected. Possibly due to HPV, clinicians are treating increasing numbers of younger women, which presents unique challenges in managing this cancer.
Vulval cancer is not high on the media or public agenda, which contributes to a general lack of awareness of this condition by both patients and their doctors. On average, most GPs will only see one or two cases in their careers and general gynaecologists will see one or two cases in a year.
| BBC Oxford. Three housewives have teamed up to raise awareness of female cancers. 2006. |
This tutorial will highlight the recognition of this cancer, the difficulties of treating it while maintaining function and limiting scarring, and appropriate referral to gynaecological cancer centres.
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Learning objectives When you have completed this tutorial you will be able to:
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Last updated: 22/01/10 (Planning management of patients with vulval cancer image replaced with a new, higher quality version)
30/11/09 (revised FIGO cancer staging incorporated into the tutorial by Dr Nick Wood. See 'Prognostic factors influencing survival – FIGO staging for vulval cancer' section for the revised FIGO staging table)
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