What are the key clinical features to consider when assessing a patient for vulval cancer?

When assessing a patient for vulval cancer, the key clinical features to consider include:

• Unexplained vulval lump – any new or persistent lump on the vulva should raise suspicion.
• Unexplained vulval ulceration – ulcers on the vulva that do not heal or have no clear cause are important to note.
• Unexplained vulval bleeding – bleeding from the vulva without an obvious cause is a significant symptom.

These features warrant consideration for a suspected cancer pathway referral to ensure timely specialist assessment and management.

These recommendations are based on the NICE guideline NG12 on suspected cancer recognition and referral.