Jan 19, - It is most likely to appear in the outer vaginal lips. Typical symptoms include a lump, itching, and bleeding. Vulvar cancer accounts for around Types · Symptoms · Risk factors · Diagnosis and staging. Vulvar Cancer: Symptoms and Signs. A lump or growth in or on the vulvar area or groin (enlarged lymph node) A patch of skin that is differently textured or colored than the rest of the vulvar area. Persistent itching, pain, soreness, or burning in the vulvar area. Painful urination. Bleeding or discharge that is not.