Vulvar leukoplakia does not mean vulvar cancer

What are the symptoms of vulvar leukoplakia? What causes vulvar leukoplakia? Vulvar leukoplakia is a common vulvar disease among women. Due to the excessive emphasis on the inevitable relationship between vulvar leukoplakia and vulvar cancer in previous years, some people even regard it as a precancerous lesion.

So, is vulvar leukoplakia as terrible as we imagine? And how to treat it?

Vulvar leukoplakia is caused by vulvar malnutrition. The occurrence of vulvar white lesions is mainly due to vulvar malnutrition, so the International Vulvar Disease Research Association renamed the disease "chronic vulvar malnutrition" in 1975. At the same time, according to the differences in its tissue pathological changes, it is divided into proliferative malnutrition, lichen sclerosus malnutrition, and mixed malnutrition. According to the vulvar tissue pathological examination, proliferative and mixed malnutrition are divided into two types: non-atypical hyperplasia and atypical hyperplasia. The latter is also divided into three types: mild, moderate and severe.

Symptoms of chronic vulvar dystrophy

Based on different clinical symptoms, patients themselves can generally determine what type of chronic vulvar dystrophy they have.

1. If the external lesions are extremely itchy and the pain worsens after scratching, and the patient is between 30 and 60 years old, the symptoms of chronic vulvar leukoplakia are as follows: the lesions occur in the labia majora, interlabial groove, clitoral hood and posterior symphysis, and are symmetrically distributed. The lesions are locally thickened, resembling leather ridges, with wrinkles or scales, eczema-like changes, and are dark red or pink in color, mixed with clearly defined white patches, rarely atrophied or adhered, and are a type of proliferative malnutrition.

2. If the patient is under 40 years old, the itching at the affected area is not too severe and mostly occurs in the vulvar skin, mucous membranes and perianal skin. The affected area becomes white and thinner, the surface is dry and easily cracked, and the elasticity is poor. The clitoris often atrophies and adheres to the foreskin. The labia minora becomes flat and disappears. In the late stage, the skin becomes thin and wrinkled, like cigarette paper. The vaginal opening is contracted and narrow, and sexual intercourse is difficult and painful. This condition belongs to lichen sclerosus type malnutrition.

3. If both of the above symptoms are present, and the adjacent areas of the thin whitish area of ​​the vulva are accompanied by focal skin swelling or thickening, it is mostly mixed malnutrition.

After understanding the symptoms of different types of vulvar leukoplakia, experts recommend that women should keep their vulva clean, and avoid abusing drugs and scrubbing with soap or other irritating drugs. Secondly, you should be careful not to eat spicy foods and irritating foods such as alcohol. Once you suffer from this disease, you should actively seek treatment and not avoid medical treatment. You should not be too nervous and equate chronic vulvar malnutrition with cancer.

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