Diagnosing vulvar leukoplakia is a simple matter

Diagnosing vulvar leukoplakia is not a difficult task. The missed diagnosis is usually caused by our lack of understanding. So, what are the main aspects of diagnosing vulvar leukoplakia? Let's ask the experts to give us detailed methods of diagnosing vulvar leukoplakia.

1. The first basis for diagnosing vulvar leukoplakia is clinical symptoms: vulvar itching, sometimes with burning and pain. The skin of the affected area is rough, thickened like moss, with scratches, and sometimes cracks. Local pigmentation is reduced, and the labia majora and labia minora generally turn white. Mild atrophy can be seen on the vulva. In severe cases, the clitoris, labia majora and labia minora atrophy and adhesion, and the labia minora disappear partially or completely, and then tighten together, the vaginal opening is narrow and elastic, and even affects urination and sexual life.

2. Clinical symptoms are one of the bases for diagnosing vulvar leukoplakia, but the final conclusion should be based on pathological diagnosis. Because many diseases can cause skin itching and loss of pigmentation or depigmentation, although the manifestations are different, it is difficult to distinguish them with the naked eye. Even if the naked eye can diagnose, it is difficult to do pathological typing, especially to find atypical hyperplasia (precancerous lesions) early. It has been reported in the literature that about 50% of vulvar squamous cell carcinomas are often accompanied by vulvar white lesions.

3. In case of atypical lesions or chronic chapped skin, localized thickening, or ulceration, a biopsy must be relied upon for diagnosis. When sampling, samples should be collected from multiple points of the lesion: ulcers, chapped skin, nodules, protrusions, or rough areas, and the sampling should be appropriate. Method: 1% toluidine blue can be applied to the lesion area first, and after it dries, 1% acetic acid solution can be used to decolorize it. In the non-discolorized area, biopsy forceps can be used to perpendicularly hold the skin and reach deep into the dermis to obtain biopsy. Any non-discolorized area indicates that there are naked nuclei in the area, suggesting that biopsy in this area can improve the accuracy of diagnosing vulvar leukoplakia.

The above is the introduction of "diagnosis of vulvar leukoplakia", for reference only. There are many ways to diagnose vulvar leukoplakia, and we should pay attention to it to avoid inappropriate diagnosis of vulvar leukoplakia and cause harm to patients. If you have other questions about the diagnosis of vulvar leukoplakia, please consult our online experts for more information.

For more information, please visit the vulvar leukoplakia topic at http://www..com.cn/fuke/wybb/ or consult an expert for free. The expert will then give a detailed answer based on the patient's specific situation.