Can vulvar cancer be cured by radiotherapy?

Written by Sun Ming Yue
Medical Oncology
Updated on September 26, 2024
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Vulvar cancer is a relatively malignant tumor. If a patient is diagnosed with vulvar cancer, they should first undergo a medical examination to check if the cancer has metastasized distantly. If the condition is just localized inflammation, it is recommended that the patient undergo surgical treatment followed by radiotherapy, as this is a very serious condition. Surgery itself can cause harm to the patient’s body, but due to the severity of the condition, it is necessary to focus on the main conflict and take corresponding rescue measures. Radiotherapy and chemotherapy can only play a certain supplementary and auxiliary role after surgery, potentially reducing the size of some tumors to a certain extent, minimizing surgical trauma and postoperative recurrence. Radiotherapy and chemotherapy are also effective for patients who are unable to undergo surgery or who cannot receive surgical treatment. If diagnosed with vulvar cancer, it is advised to visit a standard hospital for examination and follow the doctor’s guidance for appropriate diagnosis and treatment.

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Written by Sun Ming Yue
Medical Oncology
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Can vulvar cancer be detected by TCT?

The patient's TCT generally cannot detect whether they have vulvar cancer. TCT can also be referred to as liquid-based thin layer cytology, primarily examining the exfoliated cells scraped from the cervix to see if they are malignant. A negative result indicates that there is no cervical cancer. If one wishes to check for vulvar cancer, gynecological examinations can be conducted. These include blood tests for tumor markers, vaginal ultrasound, and vaginal tissue biopsy. Through these tests, any abnormalities in the vulva can be detected. It is advised that patients seek timely examination and treatment based on the disease.

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Written by Yan Chun
Oncology
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Is the vulvar cancer nodule soft or hard?

Vulvar cancer clinically forms nodular lesions that are generally hard in texture with poor mobility and tend to adhere to surrounding tissues, and have indistinct borders. Due to the rapid growth of the nodules, their shape is usually irregular, easily forming granulomatous or cauliflower-like appearances, and they are prone to contact bleeding. Patients with vulvar cancer typically have nodular lesions that are likely to invade surrounding tissues or metastasize to lymph nodes. The chances of distant metastasis to the lungs, liver, bones, or brain are relatively lower. Clinically, it is common to see enlarged inguinal lymph nodes and pain caused by metastatic foci. Some patients may also experience local skin metastasis, subcutaneous nodules, or skin itching as clinical manifestations. For the treatment of vulvar cancer, radical surgery is primarily recommended, with radiation therapy and chemotherapy also being effective options.

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Written by Yan Chun
Oncology
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Is vulvar cancer stage III considered advanced?

Vulvar cancer is a type of malignant tumor in women's gynecology, which has a relatively low clinical incidence rate. For stage III vulvar cancer, it is considered advanced vulvar cancer. Advanced vulvar cancer indicates that the lesion has spread. For vulvar cancer with lesion spread, surgical treatment should be pursued if possible. For patients who cannot undergo surgery, options like chemotherapy, radiotherapy, targeted therapy, and other comprehensive combined treatment methods can be considered for cancer treatment. However, for patients with advanced vulvar cancer, the aim of treatment is mainly to improve the quality of life and extend the survival time, as complete clinical cure of the tumor is not possible. Only early-stage vulvar cancer, after receiving curative surgery or curative radiotherapy, may achieve a clinically cured effect.

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Written by Yan Chun
Oncology
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Will the vulvar cancer be rotten in the late stage?

Patients with advanced vulvar cancer do not all show signs of internal ulceration. This is because, for most patients with vulvar cancer, the progression of the disease can lead to invasion of the surrounding tissues or distant metastasis. Some patients may experience heavy local infiltration, leading to tissue ulceration. However, most patients in the advanced stages primarily show symptoms related to lymphatic and hematogenous metastasis. When patients with advanced vulvar cancer develop lymph node metastasis and distant metastasis, they may experience symptoms of metastatic lesions, such as inguinal lymph node metastasis causing limb swelling and pain. If there are distant metastases to the lungs, liver, or other areas, patients may exhibit respiratory symptoms such as coughing and expectoration, or liver-related symptoms such as pain in the liver area or decreased appetite.

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Written by Li Li Jie
Obstetrics and Gynecology
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Is vulvar leukoplakia cancer?

First, vulvar lichen sclerosus is not cancerous. Vulvar lichen sclerosus is a general term that can be divided into many types, and the cause of the disease is unknown. The main symptoms include itching, atrophy, and whitening of the vulva. Because of vulvar itching, long-term scratching can lead to local skin thickening, cracking, and a certain risk of cell degeneration and malignancy. When vulvar lichen sclerosus occurs, patients need to visit a hospital for a colposcopy to rule out precancerous lesions. The usual treatment focuses on symptomatic relief, primarily to alleviate itching. If the itching is severe or if the treatment with medication is ineffective, photodynamic therapy can be used, which also has good effects.