Select Page

The vulva is the area of skin between a woman’s legs and is made up of all the visible sex organs. It consists of two outer lips (the labia majora), which are covered in pubic hair and surround two inner lips (the labia minora).

At the front of the vulva is a small structure (the clitoris) that helps women reach a sexual climax (orgasm). Just behind the clitoris is the outlet for urine (the urethra), and just behind this is the vaginal opening (birth canal). Further back still is the opening to the back passage (anus). This is close to the vulva, but not part of it. The area of skin between the vulva and the anus is called the perineum. All of these structures are visible from outside the body.

In the groin, where the skin creases at the top of each leg, there are lymph nodes. These are part of the lymphatic system. This system is an important part of the body’s natural defense against disease. The lymph nodes can become swollen if they are affected by an infection or cancer.

Types of vulval cancer

Cancer of the vulva is rare. It’s most likely to occur in women over the age of 60, but the number of younger women who are affected is increasing.

Vulval cancer can occur on any part of the external female sex organs. The inner edges of the labia majora and the labia minora are the most common areas for it to develop. Less often, vulval cancer may also involve the clitoris and the Bartholin glands. The Bartholin glands produce mucus that lubricates the vagina. They are small glands that are located on each side of the vagina. Vulval cancer can also sometimes affect the perineum.

Squamous cell carcinoma

9 out of 10 vulval cancers (90%) develop in the skin of the vulva from cells called squamous cells. This type of vulval cancer usually takes many years to develop. It usually starts with pre-cancerous changes to vulval cells, which slowly develop over several years into cancerous cells.

Vulval melanoma

Melanomas develop from the pigment-producing cells that give the skin its color. Vulval melanoma is the second most common type of vulval cancer, but it’s much less common than the squamous cell type. Only about 4 out of every 100 vulval cancers (4%) are melanoma. Vulval melanoma usually looks like a dark patch on the vulva.

Verrucous carcinoma

Verrucous carcinoma is a rare, very slow-growing type of squamous cell carcinoma that looks like a large wart.


These are very rare. Adenocarcinoma of the vulva develops from cells that line the glands in the vulval skin.

Basal cell carcinoma

This type of cancer very rarely affects the vulva. It develops from cells called basal cells that are found in the deepest layer of the skin of the vulva. It’s generally slow-growing and almost never spreads from the vulva.


Sarcomas of the vulva are extremely rare. Sarcomas develop from cells in tissue such as muscle or fat under the skin. They tend to grow more quickly than other types of vulval cancer.

Become a Patient

At The Center for Cancer and Blood Disorders, our board-certified physicians provide cancer treatment to more than 12,000 patients annually at our locations in Fort Worth – Central Campus, Fort Worth – Southwest, Arlington, Weatherford, Burleson, Granbury, Mineral Wells, and Stephenville. We offer you the latest advances in chemotherapy, radiation therapy, immunotherapy, hormonal therapy, and biological therapy. We also offer you the opportunity to take advantage of groundbreaking cancer treatment available only through clinical trials and cancer research.


The CyberKnife Robotic Radiosurgery System is a non-invasive alternative to surgery for the treatment of both cancerous and non-cancerous tumors anywhere in the body, including the prostate, lung, brain, spine, liver, pancreas and kidney. The treatment – which...

SpaceOAR™ Hydrogel

The Center for Cancer and Blood Disorders now Offers Innovative SpaceOAR™ Hydrogel to Benefit Patients Undergoing Treatment for Prostate Cancer. SpaceOAR Hydrogel is Clinically Shown to Help Reduce Risk of Side Effects after Radiation Treatment. SpaceOAR™ Hydrogel –...

Hidden Scar Breast Cancer Surgery

Each year, approximately 253,000 women are diagnosed with breast cancer that requires surgery. Many women are unaware of all the surgical options available, including less invasive approaches that can help restore their self-image and allow them to begin the emotional...

Nutritional Counseling

Good nutrition is essential for supporting you throughout your cancer treatment. Our registered and licensed dietitians can work with you to help lessen some of the side effects you may experience, which will not only help to ensure you are getting good nutrition, but...

Integrative Medicine

The Center TX also offers integrative medicine for our cancer patients under the direction of Dr. Oseni. Integrative medicine seeks to restore and maintain the health and wellness of cancer patients by understanding the patient’s unique set of circumstances and...

Complementary / Integrative Services

These services are for established patients. All support services are by appointment. Ancillary techniques and ancillary tests are those that assist in the diagnosis and/or treatment and are not necessarily a part of the original diagnosis and/or...


Chemotherapy is a cancer-fighting methodology that uses either stand-alone drugs or a combination of drugs to relieve pain symptoms, control the growth of cancer cells and, ideally, eliminate cancer cells. Chemotherapy may be used alone or in conjunction with surgery...

Clinical Trials

The physicians and staff at The Center firmly believe that giving our patients the opportunity to access the latest innovative and cutting edge therapies on cancer clinical trials represents the highest level of care that we can offer our patients. Our practice is...

Diagnostic Imaging

The earlier a cancer is detected, the better the chances of treating it. Because diagnostic imaging produces pictures of what’s going on inside the body, it’s a vital tool that can not only detect certain cancers like breast or lung cancer, it can be utilized as the...


The Center for Cancer and Blood Disorders offers an onsite medically integrated pharmacy. Our certified pharmacist is here to answer any questions and provide easy access to the medication you need.  The pharmacy is open during business hours and provides a quick...

Contact Us

Ask a question or book an appointment below.

For emergencies call 911 or visit your nearest hospital.

Please be aware that our phone options have changed, listen carefully when calling in for the new options.