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
First symptom in vulval cancer is- 
Select and explain. 
A. Pain, B. Pruritus, C. Ulceration, D. Bloody discharge
B: Pruritus
Answer: B: Pruritus 
Explanation: 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.