This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Valva, Subject name: Gynaecology & Obstetrics
[{'content': 'First symptom in vulval cancer is- \nSelect and explain. \nA. Pain, B. Pruritus, C. Ulceration, D. Bloody discharge', 'role': 'user'}, {'content': "Answer: B \nExplanation: Ans. is 'b' i.e., Pruritus o Women with VIN and vulvar cancer commonly present with pruritus and a visible lesion.# However, pain, bleeding, and ulceration may also be initial complaints.", 'role': 'assistant'}]