Hello! Thanks for using healthcaremagic.com I read carefully your question and understand your concern. I think you have vulvar cancer. I see some cases among my patient who visit my clinic. In the first meeting, I advise my patients to take a skin biopsy in order to detect the cancer. As for treatment, surgery is often necessary to remove all cancerous tissue. Surgery may consist of extensive local excision (excision of the cancer and a normal-appearing skin area around it) or vulvectomy (removal of the vulva, including the vagina and clitoris). The type of treatment will depend on how advanced the cancer is. Radiation therapy and chemotherapy may be used to treat more severe forms of cancer. Kind regards, Dr. Oscar Martinez