Description
An abnormal and malignant growth of cells of the vagina and vulva. It occurs most often in women older than 60 but can affect any age group. Squamous cell carcinoma is the most common cause, although adenocarcinomas, sarcomas, and melanomas are also seen. Women with an infection of the human papilloma virus (HPV) are increased risk of developing the disease. This is one of the reasons the CDC recommends the HPV vaccine for all young girls and women.
Symptoms
Vaginal bleeding, vaginal discharge, vaginal and/or pelvic pain, painful intercourse. Some patients have no symptoms.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Additional tests will be done to establish the diagnosis. A biopsy will identify the type of cancer.
Tests:
CT Scan
Other Specific Tests: PAP smear, colposcopy, biopsy
Do I need this test?
Avoid routine imaging for cancer surveillance in women with gynecologic cancer, specifically ovarian, endometrial, cervical, vulvar and vaginal cancer. Imaging in the absence of symptoms or rising tumor markers has shown low yield in detecting recurrence or impacting overall survival.
Specialists:
Obstetrics and Gynecology, Blood and Cancer Care (hematology and oncology), Gynecologic Oncology
Workup:
A history and physical exam will be performed. Additional tests will be done to establish the diagnosis. A biopsy will identify the type of cancer.
Tests:
CT Scan
Other Specific Tests: PAP smear, colposcopy, biopsy
Do I need this test?
Avoid routine imaging for cancer surveillance in women with gynecologic cancer, specifically ovarian, endometrial, cervical, vulvar and vaginal cancer. Imaging in the absence of symptoms or rising tumor markers has shown low yield in detecting recurrence or impacting overall survival.
Specialists:
Obstetrics and Gynecology, Blood and Cancer Care (hematology and oncology), Gynecologic Oncology
Treatment
The specific therapy depends on the extent of the disease. Treatment consists of surgery, chemotherapy and/or radiation therapy.