Overview Nearly 90 percent of vulvar cancers are squamous cell carcinomas. Melanoma is the second most common type of vulvar cancer, usually found in the labia minora or clitoris. Understanding Your Diagnosis The most common symptoms of vulvar cancer include constant itching, bleeding or discharge not related to menstruation, and severe burning or pain. Deciding on Treatment Your treatment options depend on the type of vulvar cancer you have, the results of lab tests, and the stage of the cancer. You may need surgery, radiation therapy, chemotherapy, or a combination of these. Managing Side Effects Side effects are common during cancer treatment. Your doctor or cancer nurse can suggest ways to ease any side effects that you experience. Prevention and Screening You should have regular checkups to help spot certain gynecologic cancers. Your doctor examines the vulva during these checkups, which also include a pelvic exam and Pap test.