Post Date November, 16 2024
Cervical leukoplakia refers to a gray-white opaque plaque-like lesion in the cervix and vagina. The white spot seen by the naked eye only indicates a certain degree of epithelial hyperplasia. With the in-depth study of cervical precancerous lesions and early cancer and the wide application of colposcopy, this disease has gradually received attention.
Is leukorrhea increased a symptom of cervical vitiligo?
When cervical leukoplakia is combined with cervical erosion or cervical endometrium ectropion, leucorrhea increases, vaginal bloody secretion and contact bleeding occur.
1. Local diagnosis:
Careful observation of the local part of the cervix can find the white spot area, but the naked eye cannot identify the lesions with incomplete keratosis.
2. Iodine solution test:
Because of the lack of glycogen storage capacity in epithelial keratosis or incomplete keratosis, the local area is not stained with iodine, so that the range of lesions can be found. However, the iodine test is non-specific, such as cervical erosion, ectropion or precancerous lesions, which are also positive.
3. Colposcopy:
Using colposcopy to expand the observation of cervical lesions is obviously much easier than naked eye observation to find cervical leukoplakia. Shanghai Second Medical University has done colposcopy in 1000 cases and found 79 cases of cervical leukoplakia, accounting for 7.9%.
4. The following features can be seen under the mirror:
① The surface of the white spot appears hyperkeratosis or incomplete keratosis; ② Epithelial cell hyperplasia and hypertrophy, accompanied by the thickening of spinous cell layer; ③ Granular cell layer thickened, epithelial foot lengthened and widened; ④ There are round cells and lymphocytes infiltrating in the interstitial beneath the epithelial layer. According to the histological characteristics, some people divide the cervical leukoplakia into two grades.
Harm of cervical leukoplakia
1. Carcinogenesis: many scholars believe that the white spots seen by the naked eye only indicate a certain degree of epithelial hyperplasia. The etiology of cervical vitiligo is unknown and can be related to cervical cancer or precancerous lesions.
2. Endocrine disorder: the content of estrogen in the body increases, and the skin on the surface of the cervix is abnormally keratinized.
3. Other gynecological diseases: most patients with cervical leukoplakia have cervical lesions themselves, while pelvic diseases such as chronic cervicitis may be the cause of cervical leukoplakia, and these diseases interact and affect each other. Abnormal symptoms of leucorrhea can occur in patients with cervical erosion.
Treatment of cervical leukoplakia
1. Cervical electric ironing: place the negative electrode plate under the patient's hip with sterile treatment towel. Turn on the power switch, preheat and burn, adjust the current and electric heating intensity to reach the required level. Select a suitable electric ironing head, contact the cervical lesion, move back and forth from the back lip at 6 o'clock to both sides, and then evenly iron the entire erosive surface in turn. The electric ironing range is more than 2mm from the erosive surface, slightly deeper near the outer mouth, and shallower near the periphery. Note that the ironing depth in the cervical canal should not exceed 0.3cm, maintain the normal function of the glands in the cervical canal, and avoid the adhesion or stenosis of the cervical canal.
