Vulvar tumors with pregnancy

　　1. Etiology

　　Vulvar epithelial tumors in young women are closely related to HPV infection, and human papillomavirus (HPV) infection is prone to occur during pregnancy. In addition, it is also related to specific factors in the body during pregnancy.

　　2. Pathogenesis

　　Vulvar tumors grow rapidly during pregnancy, mainly due to abundant pelvic blood supply, low immune function, and high estrogen levels during pregnancy. All these factors promote the development and spread of cancer.

　　Vulvar tumors grow rapidly during pregnancy, mainly due to abundant pelvic blood supply, low immune function, and high estrogen levels during pregnancy. All these factors promote the development and spread of cancer. The main symptoms and signs of vulvar benign and malignant tumors during pregnancy and non-pregnancy are similar. The main manifestations are: vulvar itching, vulvar mass, and vulvar skin showing erosion, cauliflower, ulcer, and other different forms of lesions. Complications are common in cases with genital tract infection.

　　The main symptoms and signs of vulvar benign and malignant tumors during pregnancy and non-pregnancy are similar, mainly manifested as: vulvar itching, vulvar mass, and vulvar skin showing erosion, cauliflower, ulcer, and other different forms of lesions. However, vulvar tumors during pregnancy have the following characteristics:

　　1. Vulvar tumors, including benign and malignant tumors, can grow rapidly.

　　2. Human papillomavirus (HPV) infection, which is prone to occur during pregnancy.

　　1. Epidemiology:According to reports, the ratio of pregnant women with ovarian tumors to pregnant women at the same time is 1:450, and the ratio varies from 1:300 to 1:8000 among different reports.

　　2. Prognosis:There are reports that the incidence of ovarian torsion in women who have not given birth is about 2%, and it is as high as 11% to 15% during pregnancy, indicating that an enlarged pregnant uterus can induce torsion of the tumor pedicle. After childbirth, the sudden decrease in the size of the uterus and the increased range of movement of ovarian tumors in the abdominal cavity also make it easy to occur torsion of the tumor pedicle.

　　The diagnosis of vulvar tumors combined with pregnancy, in addition to relying on clinical manifestations, also requires related examinations, which are indispensable. Common examinations include:

     1. Hormone level tests, tumor marker tests, polymerase chain reaction.

　　2. Histopathological examination.

　　Firstly, the following foods are good for patients with vulvar tumors combined with pregnancy

　　1. Eat more lean meat, chicken, eggs, quail eggs, crucian carp, turtle, white fish, cabbage, asparagus, celery, spinach, cucumber, winter melon, mushrooms, tofu, kelp, seaweed, fruits, etc.

　　2. Diet should be light and nutritious.

　　Secondly, it is best not to eat the following foods for patients with vulvar tumors combined with pregnancy

　　1. Correct malnutrition and abnormal eating habits, and do not eat mutton, shrimp, crab, eel, salted fish, black fish, etc. that are considered to generate heat.

　　2. Avoid spicy food and drinks such as chili, Sichuan pepper, green onions, garlic, white wine, etc.

　　3. Avoid eating food with hot properties, coagulating properties, and hormone components such as longan, jujube, ejiao, royal jelly, etc.

　　4. Quit smoking and drinking.

　　Firstly, the treatment methods for vulvar tumors combined with pregnancy in traditional Chinese medicine are based on the theory of traditional Chinese medicine, mainly focusing on the following matters:

　　1. Eat more lean meat, chicken, eggs, quail eggs, crucian carp, turtle, white fish, cabbage, asparagus, celery, spinach, cucumber, winter melon, mushrooms, tofu, kelp, seaweed, fruits, etc.

　　2. Avoid high tension and mental stimulation, maintain an optimistic mood and sufficient sleep.

　　Secondly, the Western medical treatment for vulvar tumors combined with pregnancy is surgical treatment:

　　1. The treatment of tumors combined with pregnancy during pregnancy can be determined according to the stage of pregnancy at the time of diagnosis, the degree of requirement for the fetus, and the clinical stage at the time of diagnosis.

　　2. The treatment methods for vulvar tumors combined with pregnancy are the same as those for vulvar tumors without pregnancy. The conditions depend on:

　　(1) The characterization of vulvar tumors: clearly identify the benign and malignant nature of the tumor. Benign tumors are treated by surgical resection.

　　(2) The clinical stage when diagnosed with vulvar malignant tumor: usually early surgery is adopted, and in the middle and late stages, adjuvant radiotherapy and/or chemotherapy should be added before and/or after surgery.

　　(3) The stage of pregnancy when diagnosed with vulvar malignant tumor: in the early and middle stages of pregnancy, adopt the treatment plan of preserving the mother, and in the late stages of pregnancy, adopt the treatment plan of preserving the baby first and then treating.

　　(4) The degree of requirement for the fetus: precious fetus should consider the scheme for fetal preservation.

　　The specific treatment plan should be individualized.