Vulvar papilloma

　　First, Etiology

　　Vulvar papilloma is a mass of papillary protrusions formed on the vulvar skin or mucosa due to local inflammatory stimulation, growing outward, and is mainly a lesion of epithelial hyperplasia.

　　Second, Pathogenesis

　　1. Typical papilloma

　　Microscopically, the tumor surface has numerous papillary protrusions, with small and numerous papillae, slightly hard in texture. The stratified squamous epithelium shows obvious hyperplasia and hypertrophy of the prickle layer cells, with the epithelium protruding towards the surface to form multiple papillary shapes. The epithelial pedicles become thicker and extend into the dermal fibrous connective tissue, with the cells arranged neatly and showing no significant variability. However, a few nuclear division figures can occasionally be seen. The tumor has a low malignancy rate of 2.5% to 3%.

　　2. Warts

　　The papilloma has fine and dense papillae, resembling cauliflower or warts, with a hard texture. Under the microscope, the epithelial prickle layer cells show hyperplasia and hypertrophy, the basement membrane is relatively flat, and there is no obvious downward extension of the epithelial pedicles.

　　3, Fibroepithelial papilloma

　　Fibroepithelial papilloma is composed of tumor epithelium and fibrous tissue. The epithelial component of papilloma is more than the fibrous tissue. The tumor surface has wider and coarser protuberances or wrinkles. Under the microscope, the surface is covered with stratified squamous epithelium, cells have moderate hyperplasia, cells are not atypical, the papillary bases are numerous and large, and the tumor generally does not become malignant.

　　The growth of the lesion is slow, and it can be asymptomatic, but it can also have a history of vulvar itching and local inflammation. The lesions are mostly found on the labia majora, mons pubis, clitoris, or perianal areas, and can be solitary or multiple. The lesions are generally not large. Due to the ease of friction in the location, complications often occur:

　　1, Bleeding:

　　Bleeding can occur due to repeated friction and subsequent rupture of the surface.

　　2, Vulvar and vaginal infection:

　　Infection can migrate to other parts of the vulva or even lead to vaginal infection due to incomplete treatment or decreased resistance, allowing pathogenic bacteria to invade.

　　Vulvar papilloma mostly occurs in elderly women, with most onset ages between 40 to 70 years old. The growth of the lesion is slow, and it can be asymptomatic, but it can also have a history of vulvar itching and local inflammation. The lesions are mostly found on the labia majora, mons pubis, clitoris, or perianal areas, and can be solitary or multiple. The lesions are generally not large, and occasionally large up to 4 to 5 cm. The tumor can be pedunculated in the form of grapes or cauliflower. If the tumor is large, due to repeated friction, the surface can break, bleed, and become infected. The presence of papillary masses in the vulva can be single or multiple, slightly hard in texture.

　　One, Prevention

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

　　2, Do a good job of follow-up: to prevent the deterioration of the disease.

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

　　Two, Prognosis

　　1, Generally, the prognosis is good.

　　2, The malignant transformation rate of typical papilloma is relatively low, ranging from 2% to 3%.

　　3, Fibrous papilloma generally does not become malignant.

　　1, Secretion smear examination: The secretion smear is examined for microbiology, and cervical scraping is performed for segmental diagnostic curettage when necessary to exclude malignant tumors of the reproductive tract.

　　2, Tumor marker examination.

　　3, Histopathological examination of living tissue.

　　One, Dietetic Recipe for Vulvar Papilloma

　　1, Sophora Flavescens Egg: 2 eggs, 60 grams of brown sugar, 60 grams of Sophora Flavescens. Boil Sophora Flavescens to extract the juice, add the beaten eggs and brown sugar, and cook until done. Eat the egg and drink the soup. Take once a day, 6 days as a course of treatment. It has the effects of clearing heat and detoxifying, drying dampness, and healing sores, and can be used for the prevention and treatment of vulvar ulcers.

　　2, Longdan Coptis Egg: 10 grams of Longdan Coptis, 3 eggs, 30 milliliters of honey. Boil Longdan Coptis in water and remove the residue, beat the eggs to make a pouch egg, add honey, and take it on an empty stomach. Take once a day, 5 days as a course of treatment. It has the effect of clearing heat, removing dampness, and healing sores.

　　3. Cabbage and Mung Bean Sprout Drink: 1 root of cabbage, 30 grams of mung bean sprouts. Clean the cabbage root and slice, clean the mung bean sprouts and put them in the pot together, add an appropriate amount of water, boil for 15 minutes, remove the dregs and take the juice, drink as tea, not restricted by time. It has the effect of clearing heat and removing dampness and can be used for the treatment of vulvar ulcers.

　　4. Rock Sugar Winter Melon Soup: 30 grams of winter melon seeds, 30 grams of rock sugar. Clean the winter melon seeds, grind into coarse powder, add rock sugar, pour 1 bowl of boiling water, put into a pot, and simmer over low heat. Take 2 times a day, for several days. It has the effect of clearing heat and dampness and can be used for the treatment of vaginal itching.

　　5. Cang'er Stomach: 1 stomach, 30 grams of cang'erzi, 10 grams of duhuan. Clean the stomach, add water and boil with the latter two herbs together, discard the medicine and eat the stomach. It has the effect of kidney-tonifying and wind-relieving itching. Used for the prevention and treatment of atrophic vulvar leukoplakia.

　　6. Goji Berry Congee: 20 grams of goji berries, an appropriate amount of rice. Cook into congee and eat.

　　Second, what to eat for vulvar papillomatosis that is good for the body

　　1. Eat more foods with anti-vulvar tumor and leukoplakia effects, such as sesame, almond, wheat, barley, loofah, black chicken, cuttlefish, black asp, pork pancreas, chrysanthemum, black plum, peach, lychee, shepherd's purse, chicken blood, eel, abalone, crab, horseshoe crab, sardine, clam, tortoise shell.

　　2. For pain, eat horseshoe crab, red, lobster, clam, sea cucumber, tiger fish, beetroot, mung bean, radish, chicken blood.

　　3. For itching, eat amaranth, cabbage, mustard, taro, kelp, laver, chicken blood, snake meat, pangolin.

　　4. To enhance physical fitness and prevent metastasis, eat silver ear, black fungus, mushroom, monkey head fungus, gizzard, sea cucumber, Job's tears, walnut, crab, lizard, needlefish.

　　5. After vulvar papillomatosis surgery, consumption of Qi and blood, it is advisable to eat more Qi and blood tonifying foods such as jujube, longan, mung bean, glutinous rice, lychee, mushroom, carrot, quail egg, lotus root powder, beans, etc.

　　Three, it is best not to eat those foods after vulvar papillomatosis surgery

　　1. Avoid smoking, drinking, and spicy刺激性 foods.

　　2. Avoid fatty, fried, moldy, and salted foods.

　　3. Avoid stimulants such as rooster and goose.

　　4. Avoid seafood and刺激性, allergenic foods when the itching is severe.

　　5. Avoid warm foods such as mutton, chive, ginger, pepper, cassia, etc., when suffering from ulcers and bleeding.

　　One, Dietetic Recipe for Vulvar Papilloma

　　1, Sophora Flavescens Egg: 2 eggs, 60 grams of brown sugar, 60 grams of Sophora Flavescens. Boil Sophora Flavescens to extract the juice, add the beaten eggs and brown sugar, and cook until done. Eat the egg and drink the soup. Take once a day, 6 days as a course of treatment. It has the effects of clearing heat and detoxifying, drying dampness, and healing sores, and can be used for the prevention and treatment of vulvar ulcers.

　　2, Longdan Coptis Egg: 10 grams of Longdan Coptis, 3 eggs, 30 milliliters of honey. Boil Longdan Coptis in water and remove the residue, beat the eggs to make a pouch egg, add honey, and take it on an empty stomach. Take once a day, 5 days as a course of treatment. It has the effect of clearing heat, removing dampness, and healing sores.

　　3. Cabbage and Mung Bean Sprout Drink: 1 root of cabbage, 30 grams of mung bean sprouts. Clean the cabbage root and slice, clean the mung bean sprouts and put them in the pot together, add an appropriate amount of water, boil for 15 minutes, remove the dregs and take the juice, drink as tea, not restricted by time. It has the effect of clearing heat and removing dampness and can be used for the treatment of vulvar ulcers.

　　4. Rock Sugar Winter Melon Soup: 30 grams of winter melon seeds, 30 grams of rock sugar. Clean the winter melon seeds, grind into coarse powder, add rock sugar, pour 1 bowl of boiling water, put into a pot, and simmer over low heat. Take 2 times a day, for several days. It has the effect of clearing heat and dampness and can be used for the treatment of vaginal itching.

　　5. Cang'er Stomach: 1 stomach, 30 grams of cang'erzi, 10 grams of duhuan. Clean the stomach, add water and boil with the latter two herbs together, discard the medicine and eat the stomach. It has the effect of kidney-tonifying and wind-relieving itching. Used for the prevention and treatment of atrophic vulvar leukoplakia.

　　6. Goji Berry Congee: 20 grams of goji berries, an appropriate amount of rice. Cook into congee and eat.

　　Second, what to eat for vulvar papillomatosis that is good for the body

　　1. Eat more foods with anti-vulvar tumor and leukoplakia effects, such as sesame, almond, wheat, barley, loofah, black chicken, cuttlefish, black asp, pork pancreas, chrysanthemum, black plum, peach, lychee, shepherd's purse, chicken blood, eel, abalone, crab, horseshoe crab, sardine, clam, tortoise shell.

　　2. For pain, eat horseshoe crab, red, lobster, clam, sea cucumber, tiger fish, beetroot, mung bean, radish, chicken blood.

　　3. For itching, eat amaranth, cabbage, mustard, taro, kelp, laver, chicken blood, snake meat, pangolin.

　　4. To enhance physical fitness and prevent metastasis, eat silver ear, black fungus, mushroom, monkey head fungus, gizzard, sea cucumber, Job's tears, walnut, crab, lizard, needlefish.

　　5. After vulvar papillomatosis surgery, consumption of Qi and blood, it is advisable to eat more Qi and blood tonifying foods such as jujube, longan, mung bean, glutinous rice, lychee, mushroom, carrot, quail egg, lotus root powder, beans, etc.

　　Three, it is best not to eat those foods after vulvar papillomatosis surgery

　　1. Avoid smoking, drinking, and spicy刺激性 foods.

　　2. Avoid fatty, fried, moldy, and salted foods.

　　3. Avoid stimulants such as rooster and goose.

　　4. Avoid seafood and刺激性, allergenic foods when the itching is severe.

　　5. Avoid warm foods such as mutton, chive, ginger, pepper, cassia, etc., when suffering from ulcers and bleeding.