This erosive lesion is malignant and can present as vulvar bleeding from a friable external lesion.
In it’s more advanced form, it may ulcerate through the vaginal, rectal and bladder mucosa.
![Vulvar Cancer 1 Invasive Cancer of the Vulva](https://brooksidepress.org/mil_ob_gyn/wp-content/uploads/2015/07/vulvaca-214x300.jpg)
Effective treatment requires the skills of a definitive care center.