Vulvar leukoplakia is a familiar disease that can occur from time to time in daily life. We should pay attention to its harmfulness, treat it promptly according to our own condition, and pay attention to reasonable care in daily life.
Can leukoplakia of the vulva become cancerous
In the last century, it was believed that cancer could occur, and even vulvar leukoplakia was considered a precancerous lesion. At present, this overemphasizes the relationship between this disease and vulvar cancer. In recent years, after extensive investigation and research both domestically and internationally, it has been found that the canceration rate of this disease is not high, and it is only considered a precancerous lesion when there is epithelial hyperplasia. In order to unify understanding, the International Association for the Study of Vulvar Diseases in 1975 referred to white lesions of the vulva as chronic vulvar malnutrition, which can be divided into three types based on histopathological changes: proliferative malnutrition, sclerotic mossy malnutrition, and mixed malnutrition. Someone has tracked vulvar leukoplakia for 20-30 years and found that the cancer rate is extremely low (only about 2%). So, there is no need to be nervous or fearful after suffering from this disease, but regular follow-up is necessary after treatment. Especially for people with proliferative malnutrition, collapse, and induration, more attention should be paid to cancer progression.
Harm of vulvar leukoplakia
1. Patients with vulvar leukoplakia often feel itching in the external genitalia, seeming to have a penetrating sensation. Itching is a paroxysmal attack, especially at night due to burning and dryness, which seriously affects sleep.
2. The skin and mucous membrane of the vulva turn white or alternate with light red, the surface is rough and uneven, there are cracks, ulcers, erosion or hardness loss of elasticity, the local skin and mucous membrane of Dysuria become thin, there are also swelling and edema, the size of the labia atrophies or even disappears, making the Vaginal orifice narrow, which can lead to sexual difficulties, but also can cause difficulties in childbirth, so laparotomy can be performed.
3. Patients with vulvar leukoplakia may experience symptoms of sexual apathy, which seriously affects the quality of sexual life of couples.
4. Individuals with severe vulvar leukoplakia may develop into vulvar cancer, with a cancer transformation rate of up to 10-50%.
Treatment of vulvar leukoplakia
1. Electric burn method for treating vulvar leukoplakia: Electric burn method mainly uses a medical computer to high-frequency cut off the diseased tissue under local anesthesia. The electric burn power is 60-70W, and the local electric burn reaches a pink color on the skin without any hard tissue sensation. Postoperative anti-inflammatory treatment is required for vulvar leukoplakia, and this method is rarely used nowadays.
2. Medication treatment for vulvar leukoplakia: It is recommended to clean the vulva with Ph4 weak acid prescription female care solution, apply hormone drugs locally, inject anaerobic corynebacterium locally, and treat with traditional Chinese medicine. The main methods of drug treatment are anti-inflammatory, inhibiting tissue proliferation, and enhancing skin protein breakdown to achieve the goals of relieving itching and thinning the skin.