The long cauliflower-like bumps on the vagina may be related to vulvar tumors (commonly squamous epithelial carcinoma), condyloma acuminatum and pseudo condyloma. 1. Vulvar tumor is a relatively rare type of malignant tumor, the incidence rate will gradually increase with age, in which postmenopausal women are the most prevalent group of vulvar tumors, which are often manifested in the clinic as a variety of forms of nodules or lumps in the vulva, such as nodules, cauliflower or ulcers, and so on. 2. Warts are caused by the infection of human papillomavirus and a kind of sexual contact as the main way of dissemination of the disease, clinical mainly for the pubic area of the fleshy superfluous organisms, and its form can be manifested as a papilla, pimple, as well as cauliflower and so on. 3. Pseudo condyloma is a papillary benign tumor that occurs in the female pubic area, mainly manifested as polypoid reddish papules in the vulva area, which are usually not observed to be significantly enlarged, and can be manifested as cauliflower-like in terms of appearance. The long cauliflower-shaped pimples on the pubic area may also be caused by other reasons, it is recommended to seek medical advice, the specific circumstances need to ask the doctor for an interview.