Snapshot A 62-year-old woman presents with vaginal itching. She denies any trauma, any abnormal odors, or vaginal discharges. She noted a lump on her vulva. She has a history of cigarette smoking and has not quit. Pelvic examination is notable for ulcerative lesion in the left labia majora. A biopsy is performed, which is positive for squamous cell carcinoma. Introduction Overview login to view 9 more bullets Epidemiology Incidence login to view 3 more bullets Risk factors login to view 6 more bullets Protective factors login to view 2 more bullets ETIOLOGY Pathophysiology login to view 3 more bullets Presentation Symptoms login to view 2 more bullets Physical exam login to view 6 more bullets Studies Invasive studies login to view 6 more bullets Differential Vaginal cancer login to view 2 more bullets Treatment Surgical login to view 3 more bullets Complications Surgical complications login to view 3 more bullets