Given the task definition and input, reply with output. In this task, you are given a context and four options. Each option is a suggested ending for the context. You should read the context and pick the best ending for the context. Please answer with "A", "B", "C", and "D".

[header] How to recognize vulva cancer symptoms [title] Identify potential symptoms. [step] Vulvar cancer may not present any symptoms in its early stages, but some signs may be present. Identifying potential symptoms that you have can help you get a diagnosis and treatment as soon as possible. <sep> (A) Symptoms of vulvar cancer include : [substeps] Increased fecal discharge, or semen not passing through. Decreased levels of fecal secretions, or excessive semen production. (B) [substeps] The earlier the diagnosis of vulvar cancer, the more likely you are to be more receptive to treatment and treatment. If you start noticing symptoms, such as swelling and severe pain, call emergency services immediately. (C) [substeps] Symptoms or signs of vulvar cancer include unusual growths, itching or tenderness of the vulvar skin, and bleeding. Pay attention to the health of your vulva over time so that you know what is normal for you and can easily identify any irregularities. (D) [substeps] The first sign of vulvar cancer, the most common symptom of vulvar cancer in women, is the lump that forms on the woman's vagina. This lump is referred to as a pelvic cancer.
C