Which investigations are recommended for confirming a diagnosis of vulval cancer in primary care?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Investigations for confirming vulval cancer diagnosis in primary care:

In primary care, there are no specific diagnostic investigations recommended to confirm vulval cancer. Instead, the key action is to identify unexplained vulval lumps or ulcerations and promptly refer the patient using a suspected cancer pathway referral for specialist assessment and diagnosis.

Physical examination findings of an unexplained vulval lump or ulceration should prompt urgent referral rather than investigations in primary care.

Educational content only. Always verify information and use clinical judgement.