What is a vulvar biopsy?

Vulvar biopsy, also known as vaginal biopsy, is a biopsy of the cervix. One or several pieces of pathological tissue can be taken out from the vagina for examination. Such an examination can determine whether there is cancer and the cause after examination. Only then can regular treatment be carried out. Its clinical significance is very important. When conducting the examination, you should be aware of some precautions. Let's take a look at this aspect.

What is a vulvar biopsy?

Vaginal biopsy is a biopsy of the cervix, which means taking a small piece or several pieces of tissue from the vagina for pathological examination to confirm the diagnosis. It is mostly used when there is suspicion of cervical cancer, or suspected cancer cells in cervical scrapings, or suspected specific inflammation, such as cervical tuberculosis. A vaginal biopsy can confirm the diagnosis and determine treatment.

Clinical significance

Abnormal result: The test finds abnormal cervical cells, which indicates early or advanced cervical cancer. People who need to be checked: those with vulvar itching, burning discomfort, lower abdominal or lumbosacral pain, which worsens during sexual intercourse, menstruation and bowel movements. There are also people who feel symptoms such as weakness in both lower limbs, bitter taste in the mouth, nausea, and yellow urine.

Precautions

Unsuitable groups: women one week before menstruation and during menstruation. Taboos before the examination: No sexual intercourse three days before the examination. You should fast after 8 pm the day before the physical examination. The examination should be done 3-7 days after the menstrual period ends. Before the operation, the leucorrhea should be checked in advance to confirm that there is no vaginitis before a biopsy can be performed. Requirements during the examination: Relax during the examination. The examination may cause physical and mental burden, so you should face it positively and actively cooperate with the examination. The biopsy site may bleed, so do not have sexual intercourse within 1-2 weeks after the examination, and wait at least half a month after the biopsy before having sex to avoid inflammation and infection. Vaginal douches or sitz baths. If vaginal bleeding is heavy, you should go to the hospital for examination and treatment.

Inspection process

The uterine cavity is expanded with a distending medium, and a cold light source is introduced into the uterine cavity through a hysteroscope via a fiberoptic light guide and lens. The cervical canal, internal cervical os, endometrium and fallopian tube opening are directly observed so that the diseased tissue can be sampled intuitively and accurately for pathological examination.

Related diseases

Vaginal adenocarcinoma, vaginal adenosis, vulvar liposarcoma, vulvar white lesions, senile vaginitis, Bartholin's gland cyst, chronic cervicitis, amebic vaginitis, vulvar leiomyosarcoma, Bartholin's gland carcinoma.