This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gynaecological oncology, Subject name: Gynaecology & Obstetrics
Most common presentation of vulval carcinoma is : 
Select and explain. 
A. Pain, B. Wa, C. Non-healing ulcer, D. Pruritis
D: Pruritis
Answer: D: Pruritis 
Explanation: The presenting features include vulval irritation and pruritus (70%), a vulval mass (60%) and bleeding (30%). Reference : Gynaecology illustrated 6th edition page no 171