Vulvar neurofibroma

　　1. Etiology

　　Whether vulvar neurofibroma originates from the neural sheath of the ectoderm or the neural sheath of the mesoderm is controversial, and it may tend to originate from the Schwann cells of the ectoderm.

　　2. Pathogenesis

　　The tumor mass is located in the dermis, often invading the subcutaneous adipose tissue, and the tumor can be solitary or multiple, generally

　　Vulvar neurofibroma complications: Larger fibroids often have ulcers, bleeding, and exudation on the surface, and secondary infection can occur after the tumor surface breaks down.

　　Secondly, the complications of neurofibroma:

　　1. When the tumor invades the skeletal system, it can cause fractures, dislocations, scoliosis, and complications such as congenital genu valgum and congenital clavicle pseudoarthrosis. Compression of the peroneal nerve by the tumor can cause foot drop and epilepsy.

　　2. When the tumor invades the central nervous system, there may be epilepsy-like seizures, and attention should be paid to prevent trauma.

　　3. Neurofibroma can sometimes break down and bleed spontaneously, or there may be massive bleeding within the tumor, which can cause shock in severe cases.

　　4. Large tumors on the limbs can often break down, leading to infection, suppuration, and even amputation.

　　5. Pulmonary damage: A few patients may develop diffuse interstitial pneumonia.

　　6. Malignant skin neurofibroma can occasionally develop into neurofibrosarcoma and malignant neurilemmoma. There are also reports of concurrent Wilms tumor, rhabdomyosarcoma, and chronic myeloid leukemia.

　　Vulvar neurofibroma generally has no symptoms, grows slowly, rarely malignant, but the tumor can significantly increase during pregnancy. When the tumor is large, there may be坠痛不适，it can occur in any tissue, often occurs in the labia, solitary, small tumor, soft texture, often pedunculated, with pigmented spots on the surface, the tumor is significantly convex out of the skin surface, forming a spherical or pedunculated hernia-like mass. The tumor can be pressed into the skin with the tip of the finger, and the tumor has obvious elasticity. There are coffee spots on the skin, of different sizes, from grain-sized to huge pendulous tumors, numerous or scattered. Some scholars believe that if there are more than 6 coffee spots with a diameter over 1.5 cm, it can be diagnosed as multiple neurofibromas.

　　1. Solitary neurofibroma (solitary neurofibroma): The diameter is about 1 cm, without multiple systemic lesions.

　　2. Localized neurofibroma (localized neurofibroma): The characteristic of this disease is that multiple isolated neurofibromas are aggregated together.

　　This disease is mainly onset in childhood, with a family history, coffee spots, soft pedunculated tumors, and other systemic damage characteristics. It is generally not difficult to diagnose, combined with pathological examination when necessary.

　　Epidemiology: Generally occurs in women of childbearing age, most common between 30 and 50 years old.

　　Prevention:

　　1, Regular physical examination: In order to achieve early detection, early diagnosis, and early treatment.

　　2, Do a good job of follow-up: Prevent malignant transformation.

　　3, Pay attention to personal hygiene, especially the hygiene of the genital area during menstruation and postpartum period.

　　4, Enhance physical fitness and improve immunity: Pay attention to the combination of work and rest, participate in physical exercise more often, and eat more fresh fruits and vegetables rich in vitamins.

　　The diagnosis of vulvar neurofibroma, in addition to clinical manifestations, also requires essential auxiliary examinations. Vaginal secretion examination, tumor marker examination to exclude other diseases. Tissue pathological examination.

　　I. Therapeutic diet for vulvar neurofibroma

　　300 grams of meat, 1 fresh river fish (500 grams), and 1 white radish. Cut the lamb into large pieces, put it in boiling water, cook with sliced radish for 15 minutes, and discard the soup and radish. Put the lamb in the pot, add water (about 2/3 of the pot capacity), scallions, ginger, and wine, and cook until tender. If the soup is too little, add some boiling water. After the fish is fried through with soybean oil, put it in the pot with lamb and cook for 30 minutes. Add salt, coriander, green onions, and chopped scallions to the soup, and it becomes a delicious and delicious lamb and fish soup. It is mainly used for postoperative care after vulvar neurofibroma surgery.

　　Second, What foods are good for the body for vulvar neurofibroma

　　1, Eat more foods with anti-vulvar tumor properties, such as sesame, almonds, wheat, barley, loofah, black-bone chicken, cuttlefish, Agkistrodon halys, pig pancreas, chrysanthemum, prune, peach, lychee, sheum, chicken blood, eel, abalone, crab, arkshell, sardine, mermaid, clam, and so on. For pain, eat arkshell, red, lobsters, clam, sea cucumber, tiger fish, beetroot, mung beans, radish, and chicken blood. For itching, eat amaranth, cabbage, mustard greens, taro, kelp, nori, chicken blood, snake meat, and Manis pentadactyla.

　　2, For pain, eat arkshell, red, lobsters, clam, sea cucumber, tiger fish, beetroot, mung beans, radish, and chicken blood.

　　3, For itching, eat amaranth, cabbage, mustard greens, taro, kelp, nori, chicken blood, snake meat, and Manis pentadactyla.

　　4, To enhance physical fitness and prevent metastasis, eat silver ear, black fungus, mushrooms, hedgehog mushrooms, chicken gizzards, sea cucumber, Job's tears, walnuts, crabs, Agama, needlefish, and so on.

　　5, After vulvar neurofibroma surgery, it consumes Qi and injures blood, so it is advisable to eat more Qi-nourishing and blood-nourishing foods, such as jujube, longan, mung bean, glutinous rice, lychee, mushrooms, carrots, quail eggs, lotus root powder, beans, and so on.

　　6, Radiotherapy after vulvar neurofibroma surgery: It consumes Yin and fluid, so it is advisable to eat more Yin-nourishing and fluid-nourishing foods, such as spinach, green vegetables, lotus root, carrots, watermelon, bananas, grapes, sea cucumber, sugarcane, lily, and so on.

　　7, Chemotherapy after vulvar neuroleukoma surgery: It is easy to damage both Qi and blood, so it is advisable to eat foods that nourish Qi and blood, such as black fungus, mushrooms, walnuts, mulberries, millet congee, jujube, longan, sea cucumber, and so on.

　　Third, Foods to avoid for vulvar neurofibroma

　　1, Avoid eating hair-raising foods. For example: fish, shrimp, crab, chicken head, pork head meat, goose meat, chicken wings, chicken feet, and so on. Eating them will aggravate the itching and inflammation of the genital area.

　　2, Eat less spicy and刺激性 foods. For example: onions, pepper, chili, Sichuan pepper, mustard greens, fennel, and so on.

　　3, Avoid eating fried and greasy foods. For example, dough sticks, butter, butter, chocolate, and so on. These foods have the effect of increasing dampness and heat, which will increase the secretion of leukorrhea and is not conducive to the treatment of the disease.

　　4, Quit smoking, drinking, coffee, and other stimulant drinks.

　　First, Prevention:

　　1, Regular physical examination: In order to achieve early detection, early diagnosis, and early treatment.

　　2, Do a good job of follow-up: Prevent malignant transformation.

　　3, Pay attention to personal hygiene, especially the hygiene of the genital area during menstruation and postpartum period.

　　4, Enhance physical fitness and improve immunity: Pay attention to the combination of work and rest, participate in physical exercise more often, and eat more fresh fruits and vegetables rich in vitamins.

　　Second, Traditional Chinese Medicine Treatment Methods for Vulvar Neurofibroma

　　1, Dosage: 3g of cinnamon, 6g each of Trapa bispinosa, Curcuma, Citrus reticulata, Cnidium monnieri, and Liquorice root, 9g each of Angelica sinensis, Paeonia lactiflora, and Paeonia alba, and one pill of Xiaojin pill.

　　Usage: Take one dose per day. Decoct and take as a liquid medicine.

　　2, Dosage: Appropriate amounts of Swertia digitalis, Colchicum autumnale, Curcuma, Sophora subprostrata, Solanum nigrum, Cynanchum auriculatum, Prunella vulgaris, Taraxacum officinale, Houttuynia cordata, Salvia miltiorrhiza, Paeonia lactiflora, Sarcandra glabra, and so on.

　　Usage: Decocted for oral administration, 1 dose per day.

　　3, Dosage: Lonicera 15g, Viola 15g, Taraxacum 15g, Rosa laevigata 12g,牡蛎15g，白花蛇舌草30g，半枝莲30g，台乌药12g。

　　Usage: Decocted for oral administration, 1 dose per day.

　　Third, folk remedies:

　　1, Scolopendra Bufo Decoction:

　　Dosage: Scolopendra 15g, Bufo 15g, Poria 15g, Poria cocos 15g, Codonopsis 15g, Hedyotis diffusa 18g, Coix 18g, Semialata 18g, Tripterygium 10g, Atractylodes 10g, Curcuma 12g, Glycyrrhiza 3g.

　　Usage: Decocted 3 times, divided into 3 doses for administration. If there is no obvious reaction, it can be taken continuously for 2-3 months or more.

　　2, Juglandis Scutellaria Decoction:

　　Dosage: Ramulus Juglandis 30g, Radix Scutellariae 30g.

　　Usage: Decocted for oral administration.

　　3, Longdan Xiegan Decoction:

　　Dosage: Scutellaria baicalensis 30g, Bupleurum 10g, Gardenia 15g, Scutellaria 15g, Rehmannia 15g, Alisma 15g, Plantago 10g, Radix Angelicae Sinensis 15g, Glycyrrhiza 10g, Semialata 15g, Patrinia 15g, Coix 30g, Poria 15g, Atractylodes 15g. Add Tripterygium 10g for dark tongue quality; add Radix Paeoniae Rubra 10g and Inula 15g for bitter mouth and heartache; add Hedyotis diffusa 15g and Houttuynia cordata 30g for severe heat-toxin.

　　Usage: Decocted for oral administration, 1 dose per day.

　　4, Guizhi Fuling Wan:

　　Dosage: Ramulus Cinnamomi 30g, Poria 10g, Radix Paeoniae Rubra 15g, Prunus persica 15g, Danpi 15g, Radix Angelicae Sinensis 20g, Chuanxiong 15g, Tripterygium 10g, Curcuma 10g, Fructus Meliae 15g, Solanum nigrum 15g, Myrrha 10g.

　　Usage: Decocted for oral administration, 1 dose per day.

　　5, Zhibi Dihuang Wan:

　　Dosage: Anemarrhena 20g, Phellodendron 15g, Prepared Rehmannia 20g, Dioscorea 30g, Cornus 25g, Poria 15g, Alisma 15g, Danpi 20g, Semialata 20g, Solanum nigrum 10g, Eucommia 10g, Morinda 10g. Add 20g of Sesamum indicum and 15g of Benincasa hispida for constipation; add 10g of Fried Asini cornea and 10g of Daisen for vaginal bleeding.

　　Usage: Decocted for oral administration, 1 dose per day. The general Western medical treatment for vulvar neurofibroma usually does not require treatment, and surgical treatment can be considered for those with enlarged vulvar neurofibroma or obvious symptoms.