Articles, Blog

Vulvar Cancer – All Symptoms

August 13, 2019

Sarah is a 63 year old woman. She has been feeling an itching in the area
of ​​the vulva for weeks. It is getting more and more annoying. She has tried creams that she has at home,
but itching does not get better. She’s going to see a doctor for a solution. Will this genital itch of Sarah be caused
by a vulvar cancer? Rhonda is a 71 year old woman. She has noticed a round bump in her groin, that
grows more and more. She thinks it’s caused by a muscular pull
she got in the area when she slipped in the kitchen. Although she has put ice and anti-inflammatory
ointments, the lump does not stop growing. Could this bulge in the groin be part of a
vulvar cancer? Watch the full video, and you will learn how
to distinguish all the symptoms of vulvar cancer so that, if you suffer from it, you
may suspect it as soon as possible! Let’s discover the symptoms of vulvar cancer. This tumor is most commonly located in the
labia majora. Because of this location, it is difficult
for the woman to observe vulvar cancer directly, so a lesion in the area is not usually discovered
until it produces symptoms. Vulvar cancer can manifest itself in several
ways. Let’s look at them one by one! Situation 1: the woman starts to suffer vulvar
itch The most common symptom of vulvar cancer that
has not yet spread out of the vulva is itching. It is important to notice that not every vulvar
itch will have vulvar cancer below. Many benign processes can produce this itch. The itching that can be caused by a vulvar
cancer tends to get worse over time, and eventually lead the woman to palpate an injury in the
vulva. Situation 2: the woman palpates a lump in
the genital area When the woman has a vulvar cancer that gradually
keeps going, a palpable tenderness is usually felt It is not usually a palpation by chance. The woman is usually explored because she
begins to have mechanical discomfort in the area, when sitting, or by rubbing with underwear. As in the vulvar area there are many glands
and hair follicles, not every bulge that appears on the vulva is going to be a cancer. It’s very important that the doctor explores
the vulvar area as soon as possible. Situation 3: the woman discovers a small bleeding
in her underwear If the vulvar cancer is ulcerated, it is very
frequent that it produces a serous and bloody secretion, that stains the woman’s underwear,
giving a good scare to her. Unlike cancers of the cervix and vagina, this
bleeding can occur in the absence of sexual intercourse. The ulcerated tumor, rubbing with the underwear,
especially when the woman walks, bleeds even when the ulcer is very small, so the woman
notices it relatively soon. This ulcer can be infected with microorganisms
from the vulva or vagina and even from the rectum, which can produce a secretion that
adds pus to the blood, serum and dead cells. Situation 4: Woman suffers from recurrent
urinary tract infections Because the woman has a very short urethra,
the microorganisms of the vaginal and vulvar flora and this secretion due to vulvar cancer
can ascend the urethra, producing repetitive urinary tract infections, which will make
the woman suffer symptoms of cystitis. In some of these repeated cystitis the urine
may turn red. That is why women who frequently suffer from
cystitis and urine infections should go to the gynecologist to have a detailed examination
of the entire genital area. We have already seen the symptoms that vulvar
cancer can cause. But what happens when the tumor escapes from
the organ, Either through the lymphatic system Or through the blood? Let’s see it! When the tumor is already outside the vulva
it may be because it has followed two different paths: The tumor escapes through the lymphatic vessels Or the tumor enters the blood. Let’s see where each of these two paths leads
cancer cells! Situation 1: the tumor has escaped through
the lymphatic vessels Vulvar cancer cells, when they choose the
lymphatic pathway to escape through the body, usually travel first to the lymph nodes of
the inguinal regions, where they can produce a palpable mass or nodule, which often frighten
women and makes them go to medical consult. After affecting the groin, the next stage
of lymphatic involvement is the lymph nodes of the pelvis, where, if many tumor cells
accumulate, it can produce an undefined sensation of pelvic heaviness. Very rarely, when there is a large involvement
of the pelvic and inguinal ganglia, the rise of lymphatic fluid can be interrupted, so
that these liquids remain in the leg, which will increase its thickness. This is called lymphedema. Situation 2: The tumor has escaped through
the blood When the cancer breaks a blood vessel near
the tumor and accesses the blood, tumor cells travel throughout the body. In places where, due to their special conditions,
they like to stay and live, these cells leave the blood vessel and settle down, growing
and multiplying. In the case of vulvar cancer, the most frequent
sites where metastases appear are: In the lungs In the liver And in the bones Metastases in the lungs: When tumor cells stay inside the lungs, they
often form separate groups, with the onset of multiple metastases, which will grow gradually. If they override the function of the lung,
they can cause shortness of breath (a symptom called dyspnoea). If they touch a respiratory tube (the bronchi
or their branches), they will irritate them, producing a very annoying dry cough, which
is very difficult to alleviate. If they are placed near a blood vessel, they
can break it, spreading some blood with the cough. Metastases in the liver: When the vulvar cancer cells settle in the
liver, they begin to grow disorderly and begin to crush liver cells. If they break them, the contents of these
liver cells, which are the transaminases, will be shed into the blood, increasing their
levels (we detect this in a blood test). If metastases compress the small channels
inside the liver where bile travels, bilirubin levels in the blood may increase and we may
become yellow (a phenomenon called jaundice). Metastases in the bone: If the tumor cells grow inside the bone, when
the metastases becomes very large it can break the layer that covers the bone and that has
a lot of sensitivity: the periosteum, which causes pain. This growth compromises the strength of the
bone and, especially if it is a bone that has to carry weight, it can break. A specific case of bone metastases occurs
when the vertebrae are affected. A back pain may appear, and even when the
vertebra breaks, it can produce neurological symptoms that are included in the spinal cord
compression syndrome, which is an oncological urgency. As you can see, vulvar cancer can lead to
many signs and symptoms. Let’s summarize them! The symptoms that vulvar cancer can cause
are: In the vulva itself: Most often, the cancer causes itching in the
vulvar area. The woman may feel a lump in the external
genital area when showering or bathing. This palpation is usually due to the presence
of pain or discomfort caused by sitting, or by contact with tight underwear. If the tumor is ulcerated, small blood spots
may appear on the underwear. If this ulcer becomes infected, it can produce
vulvar secretion. Less frequently, cystitis and recurrent urinary
tract infections may occur, with visible hematuria. In lymphatic drainage regions: Most often, the woman palpates a lump in the
groin area. She can also refer heaviness in the pelvis
if it’s full of tumor cells in her lymph nodes. Less often, lymphedema of one or both legs
will appear. In the rest of the body: If vulvar cancer cells have spread through
the blood, the most frequent symptoms are: Cough, hemoptysis or dyspnea if the metastases
are located in the lungs; Increased transaminases or jaundice if the
liver is affected; Or bone pain or fractures if there is bone
involvement It is very important to know the symptoms
of vulvar cancer. Do not forget to carry out the early diagnostic
tests of this tumor that your doctor prescribes you. And get used to exploring the area with the
help of a mirror, if you do not have anyone at home who can help you in this task. Detecting vulvar cancer as soon as possible
is the best way to beat it!


  • Reply Zaza Xx March 30, 2017 at 8:04 pm

    thank you for imfo.!!!

  • Reply princess zadakoo May 7, 2017 at 8:08 am

    wow nice doctor.. thanks a lot for the info. doctor

  • Reply mary isabell May 11, 2017 at 3:38 pm

    Very understandable with good visual diagrams — it's much appreciated 👍😄

  • Reply nishan dhungana May 15, 2017 at 5:46 am

    does it kills

  • Reply NORTH Line May 18, 2017 at 9:32 am

    You are good to teach! Learned a lot…,Thanks! ☄

  • Reply Soniya Mondal May 24, 2017 at 7:34 pm

    Can teens get this cancer I am suffering from vagina ithing from last 1 week

  • Reply a. banks. May 31, 2017 at 3:20 pm

    Who knew… that all this could happen, from itching between one's legs…?

    It truly pays to stay up to date on cancer information and definitely informed…

  • Reply Ona move June 3, 2017 at 6:37 am

    every time I urine there is blood also in my stool I'm too afraid to go to the doctor I always say if my hair ain't falling it's not cancer it's stupid but I still have hair on my head alot. I'm 23 but maybe it's a yeast infection.

  • Reply ghostt girl June 16, 2017 at 12:10 pm

    my friend had little white bumps right by the opening of the vingina could they be cancer ?

  • Reply Shayla Witcher June 24, 2017 at 2:39 am

    I'm kinda freaking out I have a large bump and it's only getting worse….

  • Reply Denise Desrosiers June 24, 2017 at 11:28 pm

    Wow! I was under the impression that competent doctors were extinct!! It's nice to see I was wrong! This video was by far the most informative and thoroughly explained I've ever come across! I've never even heard of getting cancer of the vulva, but now that I know it's possible and not to ignore the early precursors, hopefully I won't have to worry about this one cancer taking me out!
    I would like to know if there have been any studies showing if the hpv vaccine plays a vital role in the increase or decrease of contacting such a cancer?
    Thank you again for passing along this valuable information amongst us ladies!

  • Reply Scorpion Princexz June 27, 2017 at 4:07 pm

    I feel pain in my vagina when i'm on my periods and now in normal days too. I'm 29 n unmarried. I feel afraid from this pain. Is this the symptom of vaginal cancer? 😓😓😓😓😓😓

  • Reply Ms. E U June 28, 2017 at 6:13 pm

    Daniel González M.D.

    Good day I'm suffering itching to my vagina not inside my vagina only where my hair grows.. I suffering since 2013 till now..

    I want to go in hospital or clinic to examine what is it happening to me.. if this safe or no.. but I am shy or ashame to asked the doctor

  • Reply It's Nia July 8, 2017 at 12:29 am

    Daniel González M.D.

    I have a bump on the flap of my genital. It looks like a pimple. I also have genital itch that only happens sometimes. Should I go see a doctor?

  • Reply the aqua July 9, 2017 at 9:17 am

    I'm just 16 and I'm having vaginal itching from last week ..could it also be a symptom for vulvar cancer?🙁

  • Reply lovestruck angel July 25, 2017 at 10:59 pm

    I have a bump on my vulvar but it is on the left side of my vulvar. It hurts when I touch it but it does not get bigger. It's the size of a pea and I'm only 11! I don't know if it is normal

  • Reply Reshma Mahato July 26, 2017 at 2:47 pm

    I'm 19 and feeling itching and irritating in my vagina from 3 days I also feel a little abdominal pain. creams are useless. how can I stop this

  • Reply i cant find mY wIg July 28, 2017 at 12:21 pm

    im 12 years old and i get a really annoying itch in my vagina and clitorus and i just got it yesterday but i dont see any bad signs of infections or dry skin what do i do?

  • Reply lecheflAnka July 28, 2017 at 2:21 pm

    im 28 and IA suffering itchiness on my left labia majora it looks like a rushes

  • Reply Saya490 July 29, 2017 at 8:40 am

    So I've noticed a small black spot on my lybia and I just seen another black spot. Idk if it was always there but I just noticed the second one. I also get a reoccurring bump on the side of my lybia or lips closer to the vaginal opening .. sometimes it start off with an itch but eventually it feels like it becomes raw and gets painful and sensitive if anything touches it. I'm 27.. should I be concerned?

  • Reply XLX_ GIGI July 31, 2017 at 5:06 am

    Can kids get this about the age of 10 to 12 ?

  • Reply Salama Barbrian August 3, 2017 at 10:37 pm

    Am 22yrs having inching after cheving my private parts every moment then after comes small sores and went away leaving black spots what should I do, is it also the symptoms of vulva cancer or……

  • Reply Gussy Gatlin August 9, 2017 at 8:51 pm

    WoW! Great drawings..
    I'm 48. Had a hysterectomy at age 30 from fibroid tumors. Now I have a small itchy spot down there.. it hasn't changed since I noticed it over 2 yrs ago.. so I guess that's good. I have to be very careful when scratching though because it hurts.

  • Reply Al Weber August 11, 2017 at 7:13 am

    Dr Gonzales First, this was very informative video. But I have some questions. What kind of test can distinguish between vulvar cancer and STD? I have reason to suspect that some type of cancer or bacteria or even a a parasite (they love when i say its some traveling parasite) has spread to lymph nodes and other parts of the body. My doctors pass me from one doctor to the other and most claim to be unsure as what the problem or symptoms could be and are quick to label with a STD. I've been tested but always negative results so I don't know what test to request since I have to advocate for my well being.

  • Reply sJalaludeen Ayed August 13, 2017 at 9:26 am

    iam 16 sir I have itching in my vegina whether it's any problem

  • Reply anna bell August 24, 2017 at 8:04 am

    I have a small lump on my vagina is that any sign of cancer i have had them before but now am worried

  • Reply shainaz Queen September 9, 2017 at 5:32 pm

    First of all sorry for my english,my age 17 and I'm in relationship.. whenever I participated in sex then I get yeast infection or urine infection..and nowadays I'm suffering frm itching..i visited many doctors but I can't tell them that I had sex..i really don't know what to do..plzz suggest me something..I'm very depressed

  • Reply Meyer-Girl-Aqua September 23, 2017 at 1:18 am

    Omg…thanks SO much! I have to make an appointment asap thankyou! Cancer runs in my family only one who doesn't have it is me!

  • Reply Deborah Hopper October 22, 2017 at 7:08 pm

    Good info, Thank you!

  • Reply vanessa issaka October 28, 2017 at 7:57 am

    Thanks so much for uploading! There is not enough awareness brought to this cancer!

  • Reply carole d November 17, 2017 at 9:04 am

    Thankyou. Dr. Never heard of this !!!

  • Reply soneelita November 18, 2017 at 9:11 am

    v educational .

  • Reply Rufina Estrada November 29, 2017 at 7:10 pm

    thank you so much
    so informative for cancer awareness

  • Reply Who's Your Daddy? December 25, 2017 at 6:03 am

    Love those illustrations!

  • Reply Kelly Bluebook March 31, 2018 at 7:00 am

    You are a cool doc thank you

  • Reply Jamila Hadade May 7, 2018 at 8:57 pm

    I thought your video was very informative so I’ve decided to subscribe. Thanks for such an informative video we as women never think of this area has being vulnerable to cancer. Thanks Doctor, God Bless you.

  • Reply jonathan godsson May 10, 2018 at 4:56 am

    I love it thank u .

  • Reply Angela Jordan May 14, 2018 at 2:08 pm

    Thank you very much for this extremely useful information! It's important to have reliable sources for medical topics. Your approach to explaining the topics make it easy to comprehend. I have subscribed to your channel and will refer friends!

  • Reply Jessica King May 15, 2018 at 7:07 pm

    thank you dr. good video

  • Reply Deniece Donnafield May 17, 2018 at 2:33 am

    Thank you for your expertise!

  • Reply Hebsheeba Selvakumar May 19, 2018 at 5:15 pm

    wow it's really a good lesson to us for female thank u sir

  • Reply Zoya Sultaani May 24, 2018 at 5:17 pm

    Thanks good video cancer awarness☺

  • Reply Caprice123 May 28, 2018 at 2:40 am

    Thank you. I’ve been experiencing itching in the vulva area for some months and now have a very small sore spot. I thought it might be yeast infections and so have used the appropriate cream, plus extra hygiene, which gives some relief, but short lived. I will now make an appointment to see my lady doctor. Hopefully, it is not cancer, but I’m elderly, so there might be a slight chance. So thank you Doctor very much for your clear and detailed advice. Very helpful.

  • Reply Naila this drama is so so Ahmad June 13, 2018 at 6:57 pm

    Thanks for showing great information video

  • Reply Hafizah Hoshni July 31, 2018 at 8:36 am

    Thank you very much for this extremely useful information! 31/7/2018 😀

  • Reply Kelly Perry September 5, 2018 at 10:07 pm

    Thank You for this helpful information

  • Reply Naneth Szlosek December 3, 2018 at 10:49 pm

    New subscriber here from the Philippines living in Austria. Thank you Dr. for your very informative and well explained videos about health. May God bless you more and your family.

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