Vulvar Cancer: Anyone else?

Posted by ali1974 @ali1974, Nov 12, 2020

Hello:
I have posted on other discussion group about my struggle with my health, previous cancer stories and concerns for my genetic history. I can’t seem to get a break. I just had a biopsy today to rule out vulvar cancer. I honestly didn’t even know there was such a thing. Has anyone been diagnosed with this and is it more common than what I have been reading?
I am BRCA2 and MSH6 positive. 2 time breast cancer and ovarian cancer survivor I have lived a drug and alcohol free life it just doesn’t end!

Alice

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

Profile picture for lindarosemanweiss @lindarosemanweiss

@colleenyoung thank you so very much for your replies. They want to do a full removal of my vulva and removed my lymph nodes surgically and the Plastic Surgeon will take 8 inches off the top of my thigh and 8 inches on the inside of my thigh muscle and then reconstruct a hole in there along with I’m hoping save my Eureka and my recto area. And then I would be 30 to 45 days in skilled nursing with an epidural and unable to do any kind of sitting at all ever until it heals, they said they were standing up, of course, for whatever to avoid Blood class I guess and then I will have to go on our anesthesia to change the Band-Aids. I was hoping and praying and I asked both of the surgeons two and three times if there wasn’t a way that we could shrink these before trying to take my entire and area out like this. I just kept thinking there’s got to be a way to shrink these things and I know in St. Louis is 2 to 3 proton radiation machines here and have heard in the last 10 years how great they are and just was hoping and praying there was a miracle somewhere to get these things smaller and not have to take everything out like this I am 73 and have very bad neuropathy diagnosed 12 years ago with that and having using Rollator and Walker and Cane‘s and getting around and loving life I just was diagnosed a year ago with diabetes and I really really really am worried that I may not make it through this five or more our surgery they said, and then the recovery part has me very fearful. Do you know anyone I can talk to there at the Mayo Clinic and or how I get an appointment to talk to someone, please and hopefully pray that they could have some answers for me besides the words “No”. God bless you all thank you so much for sharing with me. I feel so lost and helpless, and you are giving me. Hope no one has ever heard of this.

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@lindarosemanweiss You have so many medical conditions going that adding vulvar cancer and all the decisions you need to make must be overwhelming. Getting another medical opinion seems like a good idea to me and that's what I do.

You can request an appointment from Mayo Clinic on your own by using this link. There are 3 different locations and you can designate which location you like for your request.
https://mayocl.in/1mtmR63
For Mayo Clinic, you check here if they take your insurance or you can call and ask.

Insurance types accepted at Mayo Clinic:

-- https://www.mayoclinic.org/billing-insurance/insurance/accepted-insurance

Another option is to ask your primary care provider or the surgeon you currently seeing to make a referral. I personally know it's very uncomfortable to ask a current surgeon/physician for a referral. You can explain that this is a very difficult set of decisions to make and you would like a 2nd or 3rd opinion to help you with this.

Are you located near a major academic medical center? Or are you currently seeing a surgeon at such a place?

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Profile picture for lindarosemanweiss @lindarosemanweiss

@colleenyoung thank you so very much for your replies. They want to do a full removal of my vulva and removed my lymph nodes surgically and the Plastic Surgeon will take 8 inches off the top of my thigh and 8 inches on the inside of my thigh muscle and then reconstruct a hole in there along with I’m hoping save my Eureka and my recto area. And then I would be 30 to 45 days in skilled nursing with an epidural and unable to do any kind of sitting at all ever until it heals, they said they were standing up, of course, for whatever to avoid Blood class I guess and then I will have to go on our anesthesia to change the Band-Aids. I was hoping and praying and I asked both of the surgeons two and three times if there wasn’t a way that we could shrink these before trying to take my entire and area out like this. I just kept thinking there’s got to be a way to shrink these things and I know in St. Louis is 2 to 3 proton radiation machines here and have heard in the last 10 years how great they are and just was hoping and praying there was a miracle somewhere to get these things smaller and not have to take everything out like this I am 73 and have very bad neuropathy diagnosed 12 years ago with that and having using Rollator and Walker and Cane‘s and getting around and loving life I just was diagnosed a year ago with diabetes and I really really really am worried that I may not make it through this five or more our surgery they said, and then the recovery part has me very fearful. Do you know anyone I can talk to there at the Mayo Clinic and or how I get an appointment to talk to someone, please and hopefully pray that they could have some answers for me besides the words “No”. God bless you all thank you so much for sharing with me. I feel so lost and helpless, and you are giving me. Hope no one has ever heard of this.

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@lindarosemanweiss
I feel I can hear the exhaustion in your voice, and am sorry such a gruelling treatment option seems the best way forward. I have early-stage vulval involvement with vaginal cancer and am aware of all the nerves, the blood supply etc all around the area, making it ultra sensitive and delicate. I wish you well.

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Hi am 42 years and I was diagnosed with valvur cancer 2 months ago now I am worried its a first time hearing about this type of cancer especially in my country I have never heared anyone with this I don't know how to deal with this currently I am unemployed and the public hospitals are taking forever to start treatment when I was diagnosed this wound was too small now it's growing big and it is watery still on the waiting list to start my treatment of which I am not even sure what to expect.

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Linda, my heart goes out to you. It sounds like the doctors and surgeons aren’t giving you time to think, let alone breathe and adjust to this “new normal”. I was diagnosed with vulvar cancer in April 2018. My oncologist/ gynecologist recommended chemo then radiation first. I was 57 when I was diagnosed and he did not want to do surgery first leaving me with using a bag, I think it’s called a urostomy. I did have chemo and radiation first.
I 100% agree with Helen, get a second opinion. Check out Mayo, which is incredible. Make sure you see an oncologist/gynecologist. These doctors only see women who are going through what we are going through.

I did have a partial vulvectomy in September 2019 because we thought the cancer came back, but it was only scar tissue, but my doctor was extra cautious and did the surgery.
I know what you’re going through is overwhelming. Please make sure to take care of yourself. A second opinion never hurts, either. The best of everything and let us know what you decide. Peace

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Profile picture for leratom @leratom

Hi am 42 years and I was diagnosed with valvur cancer 2 months ago now I am worried its a first time hearing about this type of cancer especially in my country I have never heared anyone with this I don't know how to deal with this currently I am unemployed and the public hospitals are taking forever to start treatment when I was diagnosed this wound was too small now it's growing big and it is watery still on the waiting list to start my treatment of which I am not even sure what to expect.

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@leratom
Hi. Perhaps the doctors think you are in early stage cancer. They need to determine the composition of the lesion/ mass and determine staging before treatment. If you feel it’s not going well with those doctors please seek a second opinion if you are able to do this. I was lucky my mass was in Stage 1B so no chemo or radiation needed, just surgery. There are websites at Cleveland Clinic, Mayo Clinic, Northwestern and Kettering Sloan which provide more info.

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Profile picture for kate14 @kate14

@tally9004 I have vulvar cancer. Beginning April had biopsy. Two weeks later more biopsies. June 5 nine biopsies under anesthesia to map out surgery. June 15 had partial radical vulvectomy and some removal of vagina. I went with a conservative surgeon instead of one who was going to do a major scoop of everything. She wanted to save as much as possible including lymph nodes. Am healing but had a tear and infection so healing more challenging. May need more later but am glad with the approach I chose. Everything seemed slow in terms of appointments and surgery. But this cancer many years growing.

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@kate14 My partner was just diagnosed with vulvar cancer (from lichen) Her oncologist surgically removed and reconstructed. We thought everything was fine but now he says lymph nodes should be removed. Not sure why… after he initially said surgery was a success!
Love your Doctor’s approach. Anywhere near CA? Also, did you have a lot of imaging?? Very concerned our gyno oncologist has not ordered any… no CT, PET, MRI … seems odd.

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Profile picture for teedee66 @teedee66

@leratom
Hi. Perhaps the doctors think you are in early stage cancer. They need to determine the composition of the lesion/ mass and determine staging before treatment. If you feel it’s not going well with those doctors please seek a second opinion if you are able to do this. I was lucky my mass was in Stage 1B so no chemo or radiation needed, just surgery. There are websites at Cleveland Clinic, Mayo Clinic, Northwestern and Kettering Sloan which provide more info.

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@teedee66 I was diagnosed early April. Had surgery in June. Right radical vulvectomy, left wide local excision of the vulva, and partial bilateral vaginectomy. Many biopsies under anesthesia and two weeks later the "big one". I feel I have a great surgeon. Young and conservative. May need more treatment later because a little cancer remains. She wanted to preserve nodes and urethra. I'm older and looked at quality of life issues.

It's painful and a challenge to heal. Tear, infection. Lack of emotional support. To whom does one talk about vulvar cancer?

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Profile picture for pele13 @pele13

@kate14 My partner was just diagnosed with vulvar cancer (from lichen) Her oncologist surgically removed and reconstructed. We thought everything was fine but now he says lymph nodes should be removed. Not sure why… after he initially said surgery was a success!
Love your Doctor’s approach. Anywhere near CA? Also, did you have a lot of imaging?? Very concerned our gyno oncologist has not ordered any… no CT, PET, MRI … seems odd.

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@pele13 nowhere near California. I had a Pat scan.

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Profile picture for Colleen Young, Connect Director @colleenyoung

@lindarosemanweiss, this must be such a shock. For most vulvar cancers, surgery is the first treatment. Radiation therapy and chemotherapy may be used before surgery to shrink the cancer. This may allow for a less extensive operation. You can read more about effective treatments for vulvar cancer from Mayo Clinic here: https://www.mayoclinic.org/diseases-conditions/vulvar-cancer/diagnosis-treatment/drc-20368072

I can understand you're worried. It's a lot to absorb and many decisions, appointments and information. But not time to think about the end. I'm tagging fellow members like @wheaton @tammielynn @bobette1 @kanderstag @jakofin, who can share their experiences with surgery and tell you more about what it was like.

Linda, what type of surgery is being recommended for you: complete or partial vulvectomy? Has radiation or chemo been suggested to have before surgery? How are you doing?

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@colleenyoung thank you so very, very very much for replying to me. I apologize for the delay. I’m trying to get someone to do chemo or radiology on me rather than do a full TOTAL ectomy and take out my lymph nodes in this surgery. I’m terrified that I won’t live through the surgery and even more terrified that I won’t live through the Recovery. I was hoping I’m praying there was a way to have proton radiation or chemo. Are the other sort of radiation that could be done. They ar VIN 1 & 2 precancerous they said and 1 small squamous on entry of vulva. Has anyone had chemo or radiation or proton radiation for this? I would love to hear please your journey for you. I am praying Mayo Clinic will use chemo. The gynecologist surgeon saying she has to do a total vulvectomy and then to the plastic surgery and then telling me one month and skilled nursing facility and I have neuropathy and diabetes, and not sure how this big surgery would even be possible for me. Thank you so very very much for your help and for being there. There’s nobody out there for this surgery. Nobody knows what I’m talking about. God bless every single one of you.any prayers.

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Profile picture for carointheuk @carointheuk

@lindarosemanweiss
I feel I can hear the exhaustion in your voice, and am sorry such a gruelling treatment option seems the best way forward. I have early-stage vulval involvement with vaginal cancer and am aware of all the nerves, the blood supply etc all around the area, making it ultra sensitive and delicate. I wish you well.

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@carointheuk thank you so very very much for your reply. I appreciate it so much. Have a suggested treatment for you with your early stage? Hopefully you can have chemo or radiation or something and not have to do this Complete eradication of and plastic surgery. I really really really worry about the Recovery and if I make it through the Recovery. And that’s if I make it through the surgery. Thank you so much for your reply.

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