How to diagnose vulvar leukoplakia?

Vulvar leukoplakia refers to localized or diffuse white patches on the skin of women's genitals , which can spread to the inner side of the lower limbs, perineum and anus , but rarely invade the urethral opening and vestibule . Itching or unbearable itching can affect the patient's work mood , affect normal communication with others , and seriously affect the couple's life . So how to make a good diagnosis of vulvar leukoplakia ?

Regarding the diagnosis of vulvar leukoplakia , the final conclusion should be based on pathological diagnosis . Because a variety of diseases can cause itching and loss or decolorization of the skin of vulvar leukoplakia , although the manifestations are different , it is not easy to distinguish them with the naked eye . Even if the naked eye can diagnose, it is not possible to achieve 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 . Therefore, if the lesions are atypical or there are chronic chapped, localized thickening, and ulceration , it is necessary to rely on biopsy pathological examination for diagnosis . When taking samples , it is necessary to take samples from multiple points such as ulcers, chapped, nodules, protrusions or rough areas , and the samples should be taken appropriately . Method : 1% toluidine blue can be applied to the lesion area first , and after it dries , 1% acetic acid solution can be used for decolorization. In the non-decolorized area , biopsy forceps are used perpendicular to the skin and deep into the dermis for biopsy . Any non-decolorized area indicates that there are naked nuclei in the area , suggesting that biopsy in this area can improve the accuracy of diagnosis .

The above is an introduction to the diagnosis of vulvar leukoplakia . Experts remind you to go to the hospital for consultation and examination in time to avoid delaying the best treatment opportunity . If you have other questions about vulvar leukoplakia , please consult our online experts , who will give you professional answers .

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