Signs and Symptoms of Vulvar Cancers and Pre-cancers

Symptoms depend on whether it is a cancer or pre-cancer and what kind of vulvar cancer it is.

Symptoms of vulvar squamous intraepithelial lesions (SIL)

Most women with vulvar squamous intraepithelial lesions (SIL) or vulvar intraepithelial neoplasia (VIN) have no symptoms at all. When a woman with SIL does have a symptom, it is most often itching that does not go away. An area of SIL may look different from normal vulvar skin. It is often thicker and lighter than the normal skin around it. However, an area of SIL can also look red, pink, or darker than the surrounding skin.

Because these changes are often caused by other conditions that are not pre-cancerous, some women don't realize that they might have a serious condition. Some try to treat the problem themselves with over-the-counter remedies.

Symptoms of invasive squamous cell cancer of the vulva

Almost all women with invasive vulvar cancers will have symptoms. 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.  It could have a wart-like or raw surface.
• Thickening of the skin of the vulva
• Itching
• Pain or burning
• Bleeding or discharge not related to the normal menstrual period
• An open sore (especially if it lasts for a month or more)

Verrucous carcinoma, a subtype of invasive squamous cell vulvar cancer, looks like cauliflower-like growths like genital warts.

These symptoms more often are caused by other, non-cancerous conditions. Still, if you have these symptoms, you should have them checked by a doctor or nurse.

Symptoms of vulvar melanoma

Patients with vulvar melanoma can have many of the same symptoms as other vulvar cancers, such as:

• A lump
• Itching
• Pain
• Bleeding or discharge

Most vulvar melanomas are black or dark brown, but they can be white, pink, red, or other colors. They can be found throughout the vulva, but most are in the area around the clitoris or on the labia majora or minora.

Vulvar melanomas can sometimes start in a mole, so a change in a mole that has been present for years can also indicate melanoma. The ABCDE rule can be used to help tell a normal mole from one that could be melanoma.

Asymmetry: One-half of the mole does not match the other.

Border irregularity: The edges of the mole are ragged or notched.

Color: The color over the mole is not the same. There may be differing shades of tan, brown, or black and sometimes patches of red, blue, or white.

Diameter: The mole is wider than 6 mm (about 1/4 inch).

Evolving: The mole is changing in size, shape, or color.

The most important sign of melanoma is a change in size, shape, or color of a mole. Still, not all melanomas fit the ABCDE rule.

If you have a mole that has changed, ask your doctor to check it out.

Symptoms of Bartholin gland cancer

A distinct mass (lump) on either side of the opening to the vagina can be the sign of a Bartholin gland carcinoma. More often, however, a lump in this area is from a Bartholin gland cyst, which is much more common (and is not a cancer).

Symptoms of Paget disease of the vulva

Soreness and a red, scaly area are symptoms of Paget disease of the vulva.