Vulvar fibroma

　　1. Etiology

　　Vulvar fibroma generally originates from the deep fibrous tissue of the perineum or the deep part of the round ligament, and is formed by the proliferation of fibroblasts.

　　2. Pathogenesis

　　Vulvar fibroma can be observed under the microscope with parallel fibrous strands in a wavy or intertwined pattern. The substance is composed of mature fibroblasts and collagen fibers, arranged in a bundle-like woven pattern. The nuclei are fusiform, and mucinous degeneration can be seen in some places, without mitotic figures. The capsule is fibrous connective tissue, with irregular lobulated surface, smooth, and hard texture. The cross-section is dense, grayish-white fibrous tissue, arranged in bundles crisscrossing or in a whorl-like pattern. The stroma is generally denser, with more collagen fibers, so the fibroma has a dense, hard, and grayish-white fibrous structure.

　　Due to various reasons such as surface friction and poor blood circulation, the surface of larger fibromas often has ulcers, bleeding, and exudation. When the tumor surface breaks, pathogenic bacteria are easy to enter and cause secondary infection. Infection can spread and lead to vaginitis. Vulvar neurofibroma can be accompanied by systemic multiple neurofibromas. The characteristics are involvement of multiple systems and organs, with the central nervous system being most prominent, which can cause various tumors such as hamartomas, neurofibromas, meningiomas, and gliomas.

　　Most vulvar fibromas occur on the labia majora, and those occurring on the labia minora, clitoris, and round ligament are rare. They grow slowly, generally without symptoms, and occasionally may have ulcers on the surface due to friction, with symptoms such as prolapse and pain. Examination may show a mass on the labia majora ranging from mung bean to cherry size, with a diameter of 0.6-8cm, smooth, hard, pedunculated, with grooves on the surface, and color like normal skin or pale yellow. They are usually solitary, and some may grow very large. Foreign literature reports that some can reach 268 pounds, spherical or oval. When local blood circulation is obstructed, it may become cystic, soft in texture. If the tumor is too large, it may be accompanied by urinary obstruction and sexual intercourse difficulty.

　　I, Prevention

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

　　2, Do a good follow-up: prevent malignant transformation.

　　3, Pay attention to personal hygiene, especially the hygiene of the vulva during menstruation and puerperium.

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

　　II, Prognosis

　　Benign tumors of the female vulva, such as papillomas and fibromas, are not common. They are single tumors growing on the outer side of the labia majora. They should be surgically removed and the resected tissue should be sent for pathological examination.

　　The diagnosis of vulvar fibroma, in addition to clinical manifestations, also requires essential auxiliary examinations. The examination methods are as follows:

     1, Tumor marker examination, secretion examination.

　　2, Biopsy

　　I, Dietetic Recipe for Vulvar Fibroma

　　1, He Shou Wu and Egg Soup

　　Composition: 120 grams of He Shou Wu, 4 eggs.

　　Usage: Boil He Shou Wu to make a concentrated decoction, then boil 4 eggs. This is a daily dose, taken twice a day.

　　2, Sesame Brown Sugar Porridge

　　Composition: 200 grams of black sesame seeds, 30 grams of brown sugar.

　　Usage: Clean the black sesame seeds, slightly roast them, and store them in a bottle for later use or crush and store them in a bottle. Use 2 tablespoons with an appropriate amount of brown sugar, dip in steamed buns or dissolve in hot water for consumption.

　　3, Others

　　Composition: 200 grams of walnut kernel, 100 grams of sesame seeds, 100 grams of glutinous rice.

　　Usage: Grind the walnuts and sesame seeds into powder. Boil the glutinous rice with an appropriate amount of water, then add the walnuts and sesame seeds and it is ready to eat.

　　4, He Shou Wu, Yam, and Lamb Soup

　　Composition: 30 grams of He Shou Wu, 100 grams of Yam, 500 grams of lamb meat, 9 grams of ginger.

　　Second, what to eat for vulvar fibroma is good for the body

　　1. It is advisable to eat more foods with anti-vulvar tumor properties, such as sesame, almonds, wheat, barley, loofah, black-bone chicken, cuttlefish, Chinese hawthorn, Chinese star anise, pig pancreas, chrysanthemum, hawthorn, peach, lychee, purslane, chicken blood, eel, abalone, crab, cuttlefish, sardine, clam, hawksbill turtle for pain. For itching, eat amaranth, cabbage, rapeseed, taro, kelp, purple kelp, chicken blood, snake meat, pangolin.

　　2. It is advisable to eat cuttlefish, red, lobsters, clam, sea cucumber, tiger fish, beetroot, mung bean, radish, chicken blood for pain.

　　3. It is advisable to eat amaranth, cabbage, rapeseed, taro, kelp, purple kelp, chicken blood, snake meat, pangolin for itching.

　　4. To enhance physical fitness and prevent metastasis, it is advisable to eat silver ear, black fungus, mushrooms, monkey head fungus, gizzard, sea cucumber, Job's tears, walnuts, crabs, lizard, needlefish.

　　5. After the operation of vulvar fibroma, consume Qi and blood, and it is advisable to eat more tonifying Qi and nourishing blood products, such as jujube, longan, mung bean, glutinous rice, lychee, mushrooms, carrots, quail eggs, lotus root powder, beans, etc.

　　Third, it is best not to eat those foods for vulvar fibroma

　　1. Avoid foods that cause itching and inflammation in the vulva. For example: fish, shrimp, crab, chicken head, pork head meat, goose meat, chicken wings, chicken feet, etc., after eating, they will worsen the itching and inflammation of the vulva.

　　2. Eat less spicy and stimulating foods. For example: onions, black pepper, chili, Sichuan pepper, rapeseed, fennel.

　　3. Avoid eating fried and greasy foods. For example: fried dough sticks, butter, butter, chocolate, etc., 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 stimulating drinks.

　　Precautions before the treatment of vulvar fibroma:

　　1. Prevention

　　Preventive measures should be taken according to the cause.

　　2. Traditional Chinese Medicine Treatment Methods for Vulvar Fibroma

　　Traditional Chinese Medicine Treatment: Differentiation and treatment: deficiency of the spleen and phlegm retention type.

　　[Syndrome] The vulvar tumor has been present for a long time, without pain, fatigue, reduced appetite, pale tongue, white fur, thin and slow pulse.

　　[Treatment Method] Strengthen the spleen and resolve phlegm, regulate qi and disperse knots.

　　3. Western Treatment Methods for Vulvar Fibroma

　　Surgical Treatment: The treatment principle is to excise along the root of the tumor.