Vulvar cancer is the least common gynecologic cancer. Vulvar cancer, similar to cervical cancer, is also caused by HPV. Smoking is an important risk factor for vulvar cancer. Vulvar cancer usually appears as a mass or lump found on the skin of the vulva. A vulvar cancer usually causes irritation or bleeding. A biopsy is required to diagnose vulvar cancer. When identified, vulvar cancer should be treated by a fellowship-trained gynecologic oncologist. Most vulvar cancers are surgically removed. In more advanced cancers, radiation and/or chemotherapy are also necessary to control the disease. At Nevada Surgery and Cancer Care, we have the expertise and experience to treat these rare cancers with the most up-to-date techniques.