Contents of vulvar leukoplakia examination

When we get sick, we need to go to the hospital in time to receive relevant treatment, but the diagnosis can only be made after a very detailed examination, so everyone should also pay attention to the examination content. These examinations can better determine the cause of the patient's illness and facilitate finding the best treatment plan. Next, we will introduce to you in detail the content of the vulvar leukoplakia examination project.

Biopsy should be performed on areas with fissures, ulcers, bumps, nodules, or roughness. Multiple biopsies are sent for pathological examination to determine the nature of the lesion and rule out early cancer. In order to ensure appropriate sampling when vulvar squamous epithelial hyperplasia is suspected, the affected area can be first painted with 1% toluidine blue, and then scrubbed with 1% acetic acid to decolorize it after it dries. Any area that does not discolor indicates the presence of naked nuclei. If a biopsy is performed at this location, there is a high possibility of finding atypical hyperplasia or even cancer.

treat

1. General treatment

Pay attention to keeping the vulva clean and dry. Do not use irritating drugs or soaps to clean the vulva. Avoid wearing non-breathable synthetic underwear and do not eat spicy or allergenic foods. For those with severe itching symptoms leading to insomnia, sedatives, sleeping pills and anti-allergic drugs can be added.

2. Medication

Commonly used drugs for vulvar lichen sclerosus include pyruvic acid ointment, compound vitamin A ointment and progesterone ointment. Alternatively, glucocorticoid ointments or immunotherapy may be used. Drugs can improve symptoms but cannot cure the disease, and long-term use is required. Lichen sclerosus in young girls may heal on its own by puberty, and pyruvate ointment is generally not used for treatment to avoid virilization. 1% hydrocortisone ointment or 0.3% progesterone ointment can be applied, which can relieve most symptoms, but long-term follow-up is required.

Vulvar squamous epithelial hyperplasia can be treated with topical corticosteroids to control pruritus. Treatment is effective for most patients, but long-term medication is required.

The above content is an introduction to the examination of vulvar leukoplakia. When symptoms similar to vulvar leukoplakia appear, do not ignore it, because this disease will bring a lot of troubles to people, itching and pain, and it will also affect the normal life of the couple. Therefore, after becoming ill, you need to have a good attitude to receive treatment.