RT Book, Section A1 Dooley-Hash, Suzanne A1 Knoop, Kevin J. A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181041644 T1 Vulvar Cancer T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessmedicine.mhmedical.com/content.aspx?aid=1181041644 RD 2023/06/01 AB Vulvar cancer accounts for 5% of gynecologic malignancies and occurs most commonly in postmenopausal women. Many vulvar neoplasms are asymptomatic and are discovered incidentally during gynecologic examination. Patients with symptoms most commonly complain of vulvar pruritis and may have noticed a vulvar mass. In advanced cases, vulvar bleeding or discharge, dysuria, or inguinal lymphadenopathy may be present. A single plaque, ulcer, or mass (fleshy, nodular, or warty) is most commonly found on the labia majora, but other areas may be affected. Less than 5% of cases have multifocal lesions.