Treatment is according to the size of the lesion:

■ Small, well-circumscribed VIN ^ wide local excision

■ Multifocal lesions ^ laser vaporization

■ Extensive lesions ^ vulvectomy


Vulvar cancer is a relatively rare gynecologic cancer (4 to 5% of all gynecologic cancers) and can arise as carcinoma of various types:

■ Metastasis

Most often found in women 60 to 70 years old

Pruritus is the most common symptom of vulvar cancer. Always biopsy itchy white lesion on exam questions.

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