The difference between vulvar leukoplakia and other female diseases

Many people think that vulvar leukoplakia is a sexually transmitted disease, and some patients are afraid that others will say it is a sexually transmitted disease and are ashamed to see a doctor. It can be said with certainty that vulvar leukoplakia is not a sexually transmitted disease. Sexually transmitted diseases and vulvar leukoplakia are two different concepts. So how to distinguish vulvar leukoplakia from other female diseases?

Distinguishing between vulvar leukoplakia and vulvar vitiligo

White lesions of the vulva: symptoms: itching, whitening of the surface, desquamation, roughness, thickening, fissures, ulcers, hardening, adhesion, and atrophy; biopsy: hyperkeratosis, thickening and whitening of the epidermis, acanthosis, inflammatory cell infiltration, and epidermal atrophy.

Vulvar vitiligo: only pigment loss, no thickening, roughness, cracking, ulceration, and normal elasticity; biopsy: under the microscope, except for lack of pigment, there is no keratinization, hypertrophy, congestion, inflammatory infiltration and other changes.

Distinguishing between leukoplakia and vulvar cancer

White lesions of the vulva: symptoms: itching, whitening of the surface, desquamation, roughness, thickening, fissures, ulcers, hardening, adhesion, and atrophy; examination, biopsy: hyperkeratosis, thickening and whitening of the epidermis, acanthosis, inflammatory cell infiltration, and epidermal atrophy.

Vulvar cancer: local ulcers, protrusions, thickening, hard base, and foul-smelling secretions from the ulcer surface; biopsy: atypical cells involve the entire layer of the epidermis and the cells lose polarity.

Distinguishing between leukoplakia and vaginitis

Vaginitis is a disease inside the vagina, while leukoplakia is a disease that occurs outside the vulva. This is a distinction based on the location of the disease. In addition, patients with vaginitis also have abnormal vaginal discharge and changes in odor. As a doctor, I will not confuse the above diseases in clinical practice.

After distinguishing vulvar leukoplakia from other diseases, we know that vulvar leukoplakia is very harmful and can develop into vulvar cancer if it is not treated properly. Therefore, patients should be alert to the harmfulness of this disease and try to detect it early, treat it early, and recover early!

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