Squamous-cell vulval cancer

Vulval cancer is a rare condition, accounting for 1% to 2% of all female genital tract malignancies in Sri Lanka. Figures are slightly higher in the Western World accounting for about 4%. The condition is more prevalent in women over 65 years of age. In recent years an increased incidence of vulval cancers in younger women has been observed in the UK, mainland Europe and the USA. In the UK the incidence in younger women has doubled over the past three decades1. Squamous-cell carcinomas account for more than 90% of vulval cancers. The other 10% includes melanomas, sarcomas, basal-cell carcinomas and adenocarcinomas.