What are the key points in diagnosing vulvar leukoplakia?

Benign keratotic lesions in the vulva are called white keratosis. White keratosis that does not heal for a long time can further develop into vulvar leukoplakia. The cause is unclear, and it may be related to systemic factors, such as diabetes and endocrine disorders. The local environment of the vulva, such as physical stimulation such as moisture and heat, can induce vulvar leukoplakia. So what are the key points for diagnosing vulvar leukoplakia?

Key points for diagnosis of vulvar leukoplakia:

1. Medical history: Severe itching of the vulva, most severe in the clitoris, aggravated at night and affecting work and sleep.

2. Physical examination: The vulva is hypopigmented or depigmented and turns white. The manifestations vary depending on the type of lesion.

1. Hyperplastic vulvitis: including neurodermatitis, thickened and faded patches can be seen on the vulva, the surrounding skin is congested, and there may be cracks or ulcers caused by scratching.

2. Atrophic vulvitis: including vulvar dryness and atrophic sclerosing lichen. The former is characterized by thinning of the skin, disappearance of the texture, disappearance of the labia minora, narrowing and tightening of the vaginal opening, pain during intercourse and itching. The latter has white patches, thinning and shiny skin, disappearance of the labia minora, tightening around the clitoris and narrowing of the vaginal opening. Typical lesions are like cigarette paper, extending to the anus in a keyhole shape.

3. Mixed vulvitis: A mixture of the above two types, with both atrophic and thickened and faded plaques.

4. Simple chronic vulvar dermatitis: There are scattered depigmented patches with unclear boundaries on the vulva, without obvious thickening, and local maceration may occur.

5. Atypical hyperplasia of vulvar epithelium: The labia majora and minora are slightly thickened with white patches, and the pathological image shows atypical hyperplasia.

3. Auxiliary examination: Multiple biopsies are sent for pathological examination to determine the nature of the lesion and rule out early cancer.

These are the key points for diagnosing vulvar leukoplakia. I hope it will be helpful to female friends. If you have other questions, please consult online experts and they will give you detailed answers.

Special topic on vulvar leukoplakia: http://www..com.cn/fuke/wybb/