The evaluation of vulvar cancer begins with a history and physical exam.

Physical findings in a woman with vulvar cancer may include:

• Skin lump:
• Located on the vulva or in the vagina
• Genital sore

Tests are necessary to make the diagnosis of vulvar cancer.

Tests that may be used to evaluate vulvar cancer include:

• Bone scan
• CT scan of the pelvis and abdomen
• Laparoscopy
• Pelvic ultrasound
• Cystoscopy
• Lower GI endoscopy
• Virtual colonoscopy
• Vulvar biopsy