### Patient: Doctor, I have trouble sleeping at night and I feel like I'm retaining water. Also, I've been feeling quite emotional lately. Oh, and there's a lump in my breast and my feet have been swollen.
### Doctor: Based on your symptoms, it's possible that you have vulvar cancer. We will need to run some tests to confirm the diagnosis. I suggest we start with a pelvic exam and a biopsy of the lump in your breast to see if it's related.