Does vulvar cancer ulceration infect family members?

Written by Yan Chun
Oncology
Updated on September 15, 2024
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Vulvar cancer is a malignant tumor of the female reproductive system with a low incidence rate clinically. Many patients with vulvar cancer experience ulcerations in their lesions. Even when ulceration occurs in vulvar cancer lesions, it is not contagious to family members because vulvar cancer is a malignant tumor and does not possess contagiousness. The occurrence of infectious diseases necessarily requires three core elements: a source of infection, a transmission route, and a susceptible population. The formation of an infection without these three elements is impossible. When ulceration occurs in vulvar cancer lesions, it is due to the tumor lesion and is non-contagious; however, it is prone to concurrent infections, causing clinical symptoms such as fever, localized pain, and bleeding, which greatly afflict the patients. In cases of ulceration in vulvar cancer, besides controlling the infection and managing local symptoms, it is also necessary to provide aggressive anti-tumor treatment.

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Can vulvar cancer be detected through an HPV test?

Vulvar cancer cannot be detected through an HPV test, as the HPV test is a virological examination specifically designed to determine the presence of the human papillomavirus infection, but it cannot confirm the existence of vulvar cancer. Clinically, examinations for vulvar cancer primarily include a detailed physical examination to ascertain the presence of lumps, ulcers, or lesions on the vulva. Additionally, vulvar ultrasound, CT, or MRI can be performed to understand the extent of vulvar cancer invasion. A pathological examination of vulvar cancer can also be conducted to diagnose the disease.

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Late-stage vulvar cancer can spread to where?

Patients with vulvar cancer generally have lymphatic metastasis because there are many lymphatic vessels in the perineum, and the capillaries of the lymphatic system are interconnected. Thus, vulvar cancer can lead to bilateral lymphatic vessel spread. Initially, it leads to superficial inguinal lymph nodes, then it spreads to the bone lymph nodes below the groin, and eventually progresses to the lymph nodes alongside the aorta and the lymph nodes below the left clavicle. If the cancer is located in the clitoris, it may bypass the superficial inguinal lymph nodes and directly spread to the lymph nodes inside the pelvis. The tumor in the vulvar area will gradually increase in size; it generally does not invade the muscle fascia or adjacent structures. If the vagina is invaded, it can easily and immediately involve the levator ani muscles, rectum, urethral opening, and bladder, among others.

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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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Does vulvar cancer spread quickly if not treated with chemotherapy?

Vulvar cancer is a type of malignant tumor in women. For patients in the early stages of vulvar cancer, chemotherapy is generally not required after radical surgery. Even without chemotherapy, the disease progression of early-stage vulvar cancer is relatively slow, and many patients can achieve clinical cure after the radical surgery. However, for patients with mid-to-late stage vulvar cancer, postoperative adjuvant chemotherapy is generally required after the radical surgery to reduce the chances of disease recurrence and metastasis. Without postoperative adjuvant chemotherapy, the disease can spread quickly, and many patients soon experience the spread of the disease, eventually leading to multi-organ failure and death. Therefore, it is essential for patients who need adjuvant chemotherapy to complete the supplementary treatment regularly and on time after surgery.

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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.