<prompt> First symptom of vulval cancer is -PruritisUlcerated lesionMass in the groinWhite discharge  <response>: Ans. is a i.e., Pruritis Vulvar Carcinomao Most patients are asymptomatic at diagnosis.o If symptoms exist, vulvar pruritis, mass, lump are the most common findingso Bleeding, ulcerative lesion, discharge, pain, dysuria - less frequent symptomso Large metastatic mass in the groin - Occasional symptom.Sites involvedo Labia majora and minora 60o Clitoris 15o Perineum 10o Too extensive to determine the site 10o Multifocal 5 As part of the initial clinical evaluation, colposcopy of the cervix and vagina should be performed because of the common association with other squamous intraepithelial or invasive neoplasm of the lower genital tract. 