Which symptom is considered the most common in vulvar carcinoma?

Pruritus, or itching of the vulvar area, is recognized as the most common symptom associated with vulvar carcinoma. This symptom can arise due to the irritation of the skin and the presence of abnormal cells in the vulvar region. Patients may experience persistent itching, which can sometimes be severe. The sensation of pruritus often prompts individuals to seek medical evaluation, leading to earlier diagnosis of potential malignancies.

While other symptoms like pain, burning sensations, and bleeding lesions can also occur in vulvar carcinoma, pruritus typically presents more frequently at the initial stages of the disease. Burning and pain might develop as the disease progresses or due to other conditions affecting the vulvar area, and bleeding lesions, while significant, are not as common as the itching sensation that prompts many women to consult their healthcare providers.