Which department is vulvar cancer?
summary
As a woman, she is under the dual pressure of family and work. Patients are required to pay enough attention to the treatment of this disease. Now they are diagnosed with vulvar cancer and feel that their life is in a dark place. I am working hard to pay, now the harvest is such a result, I can't understand why I was so unfortunately suffering from this disease. So we must do a good job of the disease related work, then which department of vulvar cancer?.
Which department is vulvar cancer?
First: general observation: 1. Squamous cell carcinoma can be manifested as simple ulcer, white lesions, subcutaneous masses or polypoid lesions. In the early stage, the epithelial foot of the epidermis infiltrates into the stroma, and gradually forms subcutaneous nodules, which can also be broken and become smaller, and misdiagnosed as inflammation. In the late stage, it develops into vegetable pattern vegetation or ulcer. 2. Bowen's disease is characterized by dark red rough spots, clear and irregular boundaries, and scab on the surface. After scab removal, granulation tissue and exudation surface can be seen. Paget's disease is characterized by eczema like changes, red, slightly protruding, accompanied by white lesions or small particles, and sometimes shallow ulcer formation and scab.
Second: microscopic examination: 1, adenocarcinoma, gland hyperplasia, epithelial multilayer, arranged in disorder, nuclear staining deep and abnormal. 2. Bowen's disease is characterized by hyperkeratosis, dyskeratosis, spinous layer hyperplasia, disordered cell arrangement, deep and abnormal nuclear staining, complete basement membrane of epidermis, and typical Paget's cells deep in epidermis. These cells are large in volume, round, oval or polygonal in shape, empty and transparent in cytoplasm, and complete basement membrane of epidermis, However, the extent of involvement of tumor cells is often beyond the edge of the lesions seen by naked eyes. The diagnosis of Paget's disease should pay attention to the presence or absence of subepithelial sweat gland carcinoma. 3. Squamous cell carcinoma, most well differentiated, often with the formation of epithelioid beads or keratosis; However, the clitoris or vestibule are not well differentiated. In addition, the nucleic acid synthesis disorder can be seen in the adjacent normal tissues, which indicates that it is necessary to remove the whole vulva in the treatment of vulvar cancer.
Third, syphilitic chronic ulcer is closely related to vulvar cancer. In modern society, with the rapid development of economy, the pace of life is speeding up, people's psychological pressure is increasing, mental tension. There are many ulcers caused by environmental pollution and psychological factors.
matters needing attention
Biopsy of vulvar lesions can make a definite diagnosis. The necrotic tissue on the surface should be removed and the lesions close to the normal tissue should be taken as far as possible. If malignant melanoma is considered, biopsy should be taken during the operation as far as possible. Once the diagnosis is confirmed, surgery should be carried out immediately.