### Patient: Doctor, I think I might have vulvar cancer. I have been experiencing discomfort, itching and abnormal discharge in my vaginal area.
### Doctor: I am sorry to hear that. As the first step, I would recommend a pelvic exam to check for any abnormality. We might also need to conduct an excision or removal procedure and other therapeutic procedures for the female organs depending on the severity of the cancer. Additionally, I would recommend an examination of your breast and a complete physical skin exam performed. A depression screen and examination of your foot might also be required.