Can vulvar cancer be detected by TCT?

Written by Sun Ming Yue
Medical Oncology
Updated on September 28, 2024
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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.

Other Voices

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Is conservative treatment or surgery better for vulvar cancer?

Vulvar cancer is a malignant tumor in female gynecology. There are various treatment options for patients with vulvar cancer. The choice between surgical treatment and conservative treatment depends on multiple factors such as the patient's clinical stage and physical condition. For patients with early-stage vulvar cancer, radical surgical excision is the best treatment method. However, some patients with poor physical condition may not tolerate surgery and may instead receive curative radiotherapy or systemic chemotherapy as an alternative treatment. For patients with mid-to-late stage vulvar cancer, the best treatment method is comprehensive internal medicine treatments, such as chemotherapy and targeted therapy. For patients with advanced vulvar cancer who have a poor physical condition and cannot tolerate chemotherapy or other antitumor treatments, the best treatment method is conservative treatment aimed at maintaining stable vital signs.

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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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How long does it take for vulvar cancer to progress from early to late stage?

If you have vulvar cancer, and want to know how long it takes to progress from early to late stage, it varies from person to person and cannot precisely be determined. Each individual's constitution is different, so the progression of the disease varies. It is recommended that patients seek medical treatment as soon as they discover they have vulvar cancer, to try to control the growth of the tumor, prevent it from spreading, enhance immune system, and improve physique, thereby aiming to extend survival.

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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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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.