Will vaginal leukoplakia become cancerous?

Patient's question:

Last October, the Maternal and Child Health Hospital discovered leukoplakia of the vagina [labia majora and minora, the size of a jujube kernel] sometimes slightly itchy.

Doctor's answer:

Vulvar leukoplakia is a chronic epidermal dystrophy disease characterized by thickened, rough, hardened, and irregularly scattered white patches on the affected skin. Some researchers followed patients with vulvar leukoplakia for 20 to 30 years and found that the incidence of malignancy was extremely low (approximately 2%). Therefore, there is no need to be anxious or fearful if you have this condition. However, regular follow-up should be conducted after treatment. This is especially important for those with proliferative dystrophy accompanied by ulcers or hard nodules, as they should be closely monitored for the risk of malignancy.

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