Vulval and Vaginal Cancer

Question 1

What is its most common type?

What is its pre-malignant condition?

What are its risk factors?

Answer 1

➊ 90% are squamous cell carcinomas - can also be a malignant melanoma

➋ Vulval Intraepithelial Neoplasia (VIN)

➌ • Older age
• Immunosuppression
• HPV Infection
• Lichen sclerosus

Question 2

How does it present?

Answer 2

N.B. Frequently affects Labia Majora
• Irregular mass
• Fungating lesion
• Ulceration
• Bleeding