How is vulvar leukoplakia confirmed?

Patient's question:

What is it? Medical history and treatment: Three years ago, I was diagnosed with vitiligo at Xiangfan. They prescribed medication, and the condition improved. I've read many books on this topic and wonder if it could be leukoplakia of the vulva. What's the difference between leukoplakia of the vulva and vitiligo? It's been about eight or nine years, and it hasn't...

Doctor's answer:

Patients with squamous hyperplasia type, in the early stage, the vulva presents with small, white, uneven-colored spots, itching, and severe itching; in severe cases, it peels off white scales, itching intensifies, becomes unbearably itchy, and disrupts sleep. The vulva gradually shrinks, hardens, and becomes leathery, with an uneven texture. In the late stage, it becomes dry and cracked, causing unbearable pain and itching. The vulva resembles old tree bark, dry, cracked, making it difficult for patients to sleep, leading to loss of appetite, and over time, causing physical and mental exhaustion.
For patients with hyperplasia type, the diagnosis of leukoplakia of the vulva includes: bilateral labia minora and clitoris, as well as the prepuce, showing varying degrees of enlargement, thickening, and a brown or dark blue surface. The clitoris may have varying degrees of adhesion. The bilateral labia minora enlarge into an elliptical shape. Patients experience decreased or no libido, abnormal irritability, and mild itching in some cases. In the late stage, it is prone to malignancy.

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