Squamous Cell Vulvar Cancer: Who out there has this cancer?

Posted by bobette1 @bobette1, Oct 10, 2022

Just diagnosed a week ago. Who is out there with this cancer? Looking for advise, tips and what to expect as I start my journey. TIA

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Mine was treated with only surgery. Luckily it was caught early...could have been earlier had I had a clue that this cancer existed! I was aware of the lesion for months....just attributed it to menopausal changes.
If it is what you have, I hope it's early stage.
My gyno/oncologist, who was not my surgeon said had he not removed my stitches himself he never would have believed I'd had a vulvectomy.
Follow instructions for after care and be proactive!

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@colleenyoung

@bearl how are you doing? Do you have more clarity about your diagnosis and a treatment plan now?

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I have a little more clarity. I am scheduled for surgery 8/23. It will show what I need to continue to do once the results are in. I’m praying hard for Stage I. Hoping God has a sense of humor really.

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I woke up one morning with extreme pain. It took 7 weeks of extreme pain for me to get the diagnosis. My primary doctor thought it was Herpes. After 3 weeks of treating me for Herpes and it was only getting worse, she referred me to a gynecologist. The gynecologist also thought it was Herpes, probably because that was the primary doctor’s diagnosis. Thankfully, the gynecologist decided to cover all bases and did a biopsy. I have an appointment with an oncologist next Wednesday. Needless to say, I am not happy that both doctors had such tunnel vision but thankful that the gynecologist decided to cover all bases since the medicine for Herpes wasn’t working and did the biopsy. I am 85 years old and my husband and I have been married since our teens. At my age I wouldn’t have thought that Herpes would be the first thought. I wonder if any other people have had a similar experience.

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Yes. Misdiagnosed 3 times (including at the first surgery). It was not until the complete pathology came in after the first surgery that they knew it was a cancerous lesion. I was angry as all get out when they said I had to "return to the OR" for a radical ressection and bilateral inguinal node dissection. This is a rare, and not often seen cancer in most settings. I demanded a biopsy as well, because of the pain. Mine was HPV related (at age 73 and widowed for 27 years). In the end, this worked to my advantage, as HPV related cancers tend not to spread as quickly (but had to get a second opinion at a cancer center to find that out). The good news is pathology 2nd time around was totally clean and no lymph nodes cancerous. I would say, get as much information as you can prior to surgery -- from a cancer center if possible.

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@mdr3

Yes. Misdiagnosed 3 times (including at the first surgery). It was not until the complete pathology came in after the first surgery that they knew it was a cancerous lesion. I was angry as all get out when they said I had to "return to the OR" for a radical ressection and bilateral inguinal node dissection. This is a rare, and not often seen cancer in most settings. I demanded a biopsy as well, because of the pain. Mine was HPV related (at age 73 and widowed for 27 years). In the end, this worked to my advantage, as HPV related cancers tend not to spread as quickly (but had to get a second opinion at a cancer center to find that out). The good news is pathology 2nd time around was totally clean and no lymph nodes cancerous. I would say, get as much information as you can prior to surgery -- from a cancer center if possible.

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Mine is most likely from Lichen Sclerosis, which I was diagnosed with. Cancer is a known risk from Lichen Sclerosis. I am disappointed that they didn’t consider that at the beginning instead of insisting that it was Herpes.

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Yes, Lichen Sclerosus is a risk factor. The first person that saw me was sure this was the diagnosis. I remember saying to her "I don't need a biopsy for this?" her response: "no. I've seen this a million times" and yes, cancer can arise in 4-5% of the cases, but it was not what I had. The minute you hear someone talk like that it should be like a neon sign, and get a second opinion. Here's hoping that you get the care you need as soon as is possible. I was angry, but soon found out that was an unproductive place to be. Wishing you the best ...

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@catlove30

So sorry you are having a second surgery. It’s terribly disconcerting to go through one much less two!
I really do not know why he decided to take that many. Initially, it was supposed to be 3 or 4. I had so much faith in my surgeon and my immense faith in the Almighty, I didn’t question that decision. Surgeon did mention that he did that to be on the safe side!!?! I have been free and clear since that time. I’m five years, almost six.
I had virtually no pain from surgery. I did have pain due to the incorrect placement of catheter!! Very uncomfortable!!!
The incision in the right inguinal are was a different story. Not unbearable though. I am blessed with a high tolerance for pain. It took quite a long while for that to heal. Healing from the inside first; I thought I would never heal!
You mentioned that they had no idea what they removed was cancer? Had you not done a biopsy
on that area?
Well, we believe in prayer. What day is your surgery and I will certainly pray for you!
Guess I haven’t been much help, except for you to know that you are not alone!

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I had a bilateral hemivulectomy with lymph node dissection
Two nodes were + so they took 7 to be safe. Now I have lymphedema. I was stage 3 when they operated. Tons of radiation and 6 chemo tx. Just wondering if you were using HRT hormone replacement therapy?

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@annie7837

I had the radical vulvectomy as well and was just informed that my doctor is now going to remove the whole area of lymph nodes in the pelvic area. Is it painful? How long were you in the hospital? Recovery time?

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I had a left radical hemivulectomy with 7 lymph nodes removed in 2013. Doing fine now. But I have lymphedema have they told you about that?

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I had squamous cell carcinoma. 2013 radical left hemivulectomy with lymph node dissection. I'm here if you have questions.

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Diagnosed, surgery for radical vulvaectomy and lymph nodes removed and radiation which I am doing now. I was not aware how much they would remove in surgery. My cancer involved a tumor in the barholins gland which was removed also. Sitz baths are wonderful during radiation . Keep exercising and hydrated thru out, helps with the freaking mental emotional roller coaster we are on. Hugs!

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