After consultation with your specialist, the following tests may be carried out:
A Physical Examination: A thorough physical examination will be carried out to check for abnormal growths or swellings, after taking a detailed history of your symptoms.
Biopsy: A biopsy of the growth/swelling or any suspicious area of the skin will be performed with a local anaesthetic agent. The pathologists examine the biopsy sample and provide a detailed histopathological report.
- If the area of suspicion is small, excisional biopsy is performed i.e. the entire lesion will be removed and sent for histopathological examination.
- If the area of abnormal growth is large, a small punch biopsy is performed and a small portion of the growth is taken for testing.
- CECT scan: A CT scan of the abdomen and pelvis is recommended to detect the spread of cancer in pelvic or abdominal lymph nodes or to other organs like the liver.
- MRI:Sometimes an MRI scan is taken if the cancer is very close to the urethra or rectum.
- PET CECT:A PET CT scan is taken in advanced or recurrent cases to rule out the spread of cancer to other sites like the lungs, liver, bone, etc.
HPV typing: This procedure is done in some cases, especially when cancers in the cervix and/or vagina are also present along with vulval cancer. This test is done on a sample of cells from the patient’s cervix. Tests are conducted to determine the presence of strains of human papillomavirus such as HPV 16 and HPV 18.