Vulvar Cancer

Personalised treatments designed to fight cancer while minimising side effects.

What is Vulvar Cancer?

Vulvar cancer begins in the external female genital organs, most commonly affecting the labia majora and labia minora. It is a relatively rare cancer, but early detection is important as outcomes are significantly better when treated at an early stage. Vulvar cancer can present as squamous cell carcinoma (the most common type), melanoma, or rarer subtypes.

How Common is Vulvar Cancer in Singapore?

According to GLOBOCAN 2020, vulvar cancer accounts for a small proportion of gynaecological cancers in Singapore compared to cervical or ovarian cancer. However, like other women’s cancers, cases may be underdiagnosed or detected late due to lack of awareness and limited screening. Most cases are diagnosed in women over the age of 60, though it can occur earlier in women with HPV-related changes or immune conditions.

What Are the Signs and Symptoms of Vulvar Cancer?

Symptoms of vulvar cancer may be subtle at first. Common signs include:
If any of these symptoms persist, it is important to seek prompt medical evaluation.

How is Vulvar Cancer Diagnosed?

Diagnosis typically involves a pelvic examination and biopsy of any suspicious lesion. Imaging tests such as MRI, CT scans, or PET scans may be used to assess the extent of the disease and whether lymph nodes are involved.

What Are the Causes and Risk Factors of Vulvar Cancer?

The exact cause of vulvar cancer is not always known, but key risk factors include:

What Are the Types of Vulvar Cancer?

The main types include:

What Are The Stages of Vulvar Cancer?

Vulvar cancer is staged from Stage I (localised to the vulva) to Stage IV (spread to nearby organs or distant parts of the body). The stage determines treatment choices and prognosis.

What are the Treatments for Vulvar Cancer?

Treatment depends on the stage, type, and overall health of the patient. Options include:

Surgery

Removal of the tumour, which may involve local excision, partial or radical vulvectomy, and lymph node removal. Minimally invasive approaches may be considered.

Radiotherapy

Used for locally advanced cancers or after surgery if lymph nodes are involved.

Meet Our Doctors

At OncoCare Singapore, our multidisciplinary team includes medical oncologists, gynaecologic surgeons, radiation oncologists, radiologists, pathologists, oncology nurses, and allied health professionals. Together, they provide integrated care for women with vulvar cancer, delivering personalised treatment plans tailored to each patient’s needs.

Senior Medical Oncologist
Clinical interests include gynaecological cancers, including cervical, endometrial, ovarian, uterine, and vulvar cancers, as well as gestational trophoblastic neoplasia and primary peritoneal cancers.
Senior Medical Oncologist
Clinical interests include breast cancer, gynaecological cancers, lung cancer, and gastrointestinal and hepatobiliary cancers (colon, rectum, pancreas, liver, and gastric).
Senior Medical Oncologist
Clinical interests include breast and gynaecological cancers, lung cancers, melanoma, brain cancers, soft tissue and bone sarcomas, as well as haematological malignancies such as lymphoma, multiple myeloma, and leukaemia, including cancers in people living with HIV.
Senior Medical Oncologist
Clinical interests include sarcomas, skin cancers and melanomas, lymphomas, rare cancers, lung cancers, hepatobiliary cancers, brain cancers, women’s cancers, and cancers in adolescents and young adults.