This page is dedicated to organizing various examples of standardized exam questions whose answer is vulvar cancer. While this may seem a odd practice, it is useful to see multiple examples of how vulvar cancer will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A previously healthy 60 year old woman comes to the clinic because of a 3 month history of vulvar itching. She denies having any other symptoms, and takes no medications. Menopause occurred 10 years ago. She has not been sexually active for the past 13 years. Examination shows a 1 x 1 cm ulcerated lesion on the inner right labium majora. It is surrounded by mild erythema and no other lesions are visualized. There is no inguinal adenopathy. What is the likely diagnosis in this patient?
Explanation: vulvar itching + low risk for sexually transmitted diseases + ulcerated lesion on vulva = vulvar cancer
Page Updated: 10.19.2016