Cancer of the vulva (external genitalia) is a very rare localization of malignant tumors of female genital mutilation. The incidence of 2,2-8%. Cancer of th... Read more »
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Risk factors for cancer of the vulva (external genitalia)
• Age: o 3 / 4 patients older than 50 years o 2 / 3 of patients older than 70 years • Chronic infection with human papillomavirus (HPV)
• Squamous hyperplasia and sclerosing zoster
• vulvar intraepithelial neoplasia VIN
• Obesity
• Hypertension
• Diabetes
• Frequent change of sexual partners
• Low soci... Read more »
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Isolated exophytic form, when a cancerous tumor has the form of nodules, which rises above the surface; endophytic - with the formation of crateriform ulcers with thick edges, diffuse form - a dense diffuse infiltrate. Cancer of the vulva has a distinct malignancy because of the wealth of this area of the lymph nodes and the special structure of the lymphatic system. Are 4 stages of vulvar cancer spread: 1. Stage I - tumor 2 cm in diameter, limited to the vulva, 2. ... Read more »
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In the initial stages of vulvar cancer patients notice itching or burning sensation in the vulva. Often the disease begins with the formation on the surface of vulval warts, the true nature of which in the early stages of development can be established only by special methods of diagnosis. Also, the primary tumor may be in the form of a dense knot or focal thickening. With the growth of tumors formed solid, easy bleeding ulcer with jagged edges and a thick necrotic ... Read more »
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Common and affordable method for diagnosing cancer of the vulva is a pelvic exam, which should begin with inspection of the external genitalia (preferably through a magnifying glass). The tumor may be in the form hillocky growths, bleeding when touched, in the form of a dense knot, flat ulcer with an uneven bottom and rolls shaped edges or growths such as warts. By palpation determine the consistency of the tumor, its relation to the underlying tissues, the prevalen... Read more »
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Specific treatment includes vulvectomy, laser, X-ray and chemotherapy. Choice of treatment depends on the stage of the process, clinical form, age and general condition of the patient. When I-III stages of the disease and the general good condition of the patient used a combined method of treatment: enhanced removal of the vulva and inguinal lymph nodes. 2-3 weeks after surgery prescribed radiation therapy (x-rays or radioactive isotopes). Radiation therapy as an in... Read more »
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Despite the fact that cancer of the vulva refers to the visually detectable disease, a significant number of patients come for treatment in the presence of widespread process. On the one hand, this is associated with anatomical external genitalia, with plenty of well-developed circulatory and lymphatic networks and are characterized by pronounced proliferative activity of squamous cell carcinoma and early metastasis to regional areas, on the other side - the lack of... Read more »
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