What is the treatment for VIN?

The main treatment for VIN is usually a small operation to remove the affected area from the vulva. This is called a wide local excision. Rarely, if the area is large or there are several areas, the whole vulva may be removed. This is called a vulvectomy.

What is the standard treatment for patients with vulvar cancer?

Surgery. Surgery is the most common treatment for vulvar intraepithelial neoplasia (VIN) and vulvar cancer. One of the following types of surgery may be done to treat VIN: Separate excision of a lesion: A surgical procedure to remove a lesion of concern.

What is the best treatment for vulvar cancer?

The main treatment for vulvar cancer is surgery. Radiation therapy and chemotherapy may be used if the cancer cannot be entirely removed with surgery, if the cancer has a high risk of coming back, and/or if the cancer is found in lymph nodes.

Can vulvar cancer spread to lungs?

The metastatic tumor is the same type of cancer as the primary tumor. For example, if vulvar cancer spreads to the lung, the cancer cells in the lung are actually vulvar cancer cells. The disease is metastatic vulvar cancer, not lung cancer.

Is VIN curable?

Imiquimod cream Doctors hope that if the cream destroys the HPV, the cells affected by VIN will go back to normal. You usually apply the cream to the affected area 3 to 4 times per week, and it can take up to 6 months to work. Inflammation of the vulval skin is a common side effect of this treatment.

Do you need chemo for vulvar cancer?

In more advanced disease, chemo might be given with radiation therapy before surgery. Chemotherapy helps the radiation work better, and this may shrink the tumor so it’s easier to remove with surgery. At this time, chemo is most often used for vulvar cancers that have spread or have come back after surgery.

Where does vulvar cancer spread first?

Locating the Vulva Most of these cancers grow slowly, remaining on the surface for years. However, some (for example, melanomas) grow quickly. Untreated, vulvar cancer can eventually invade the vagina, the urethra, or the anus and spread into lymph nodes in the pelvis and abdomen and into the bloodstream.

Do you have to do chemo for vulvar cancer?

Chemotherapy helps the radiation work better, and this may shrink the tumor so it’s easier to remove with surgery. At this time, chemo is most often used for vulvar cancers that have spread or have come back after surgery.

How long does it take for vulvar cancer to metastasize?

Results: Out of 391 patients with primary squamous cell vulvar cancer, 20 patients (5.1%) eventually presented with distant metastases. In these 20 patients, median time to first diagnosis of metastasis after primary diagnosis was 13.4months (range 4-104).

Can VIN spread?

This virus is spread by direct intimate skin-to-skin contact (generally during sexual intercourse). If you have usual type VIN, it is because you were exposed at some point in time to HPV. Most healthy adults are exposed to HPV during their life; some adults become infected and carry the virus in their skin.

How quickly does vulvar cancer spread?

It takes several years for noticeable symptoms to develop. Vulvar melanoma accounts for about 5 percent of all vulvar cancers. A melanoma presents as a dark patch of discoloration. There is a high risk of this type of cancer spreading to other parts of the body, a process known as metastasis.

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