Recurrences are more common in women with large lesions or if treatment involved limited surgery. They usually occur within the first three years after treatment. The recurrence may be anywhere on the remaining external genitalia, in the groin or pelvic nodes or at distant sites. Symptoms of recurrent cancer may include bleeding, pain in the genitals, groin, pelvis or legs, leg swelling (edema), weight loss, chronic cough and chest pain.
Treatment options include wide local excision (for a local recurrence), radical local excision, pelvic exenteration, external beam radiation therapy , interstitial radiation therapy and chemotherapy .
