Jul 27, 2008

What are the cervical leukoplakia performance and how to diagnosis

Clinical performance

Leukoplakia more simple cervical asymptomatic and are likely to natural dissipated; if the merger cervical erosion or cervical, endometrial, Leucorrhea increased valgus or occasionally bloody vaginal secretions and contact bleeding

Cervical generally observed that the surface of opaque white spot patchy form different size regional general lesions smaller diameter of not more than 1 cm or more of a single individual cases of cervical leukoplakia can go beyond the surface of vaginal fornix only for the off-white or pink than the surrounding mucosal Some neat edge slightly shiny clear boundaries with others Bu Zhengqi Cotton will be easy to wipe the surface of white spot at the bottom of a point bleeding

(A) depending on local consultation: Local careful observation of cervical can be found white plaque region but to the naked eye can not distinguish between incomplete keratosis lesions

(B) Dianye test: keratinized epithelium or incomplete due to lack of keratosis glycogen storage capacity of local non-iodine Tu coloring can be found lesions to the scope of iodine but non-specific tests such as cervical erosion valgus or precancerous lesions, such as Positive

(C) colposcopy: Larger colposcopy to observe the cervical lesions than the eye that is much easier to cervical leukoplakia Shanghai Second Medical University, has been the subject of colposcopy 1,000 cases found 79 cases of cervical leukoplakia 7.9%

(D) have the following characteristics see under: ① leukoplakia the surface excessive keratosis or incomplete keratosis; ② epithelial cell proliferation of mast cells with spine-thickened; ③ particles epithelial cell layer thickening foot extension widened; ④ Cortex on a radio under the mesenchymal cells and lymphocytes invasion was based on morphological characteristics of the Organization of cervical white spot will be divided into two cervical epithelial surface layer only 2 to 3 keratosis or failure of the spine under keratosis and basal cell layer cells remain Normal state or a benign, as leukoplakia Ⅰ level; keratosis of the epithelial cell proliferation are not typical for the white spot grade Ⅱ

Diagnosis

According to local consultation as iodine test and colposcopy in general it is not difficult to make the diagnosis but more important is that white spot after further checks with the white spot to avoid missing the coexistence of early cervical cancer reported in the literature colposcopy According to the white spot is all kinds of early cervical cancer If the performance of important people in 105 cases of carcinoma in situ colposcopy see abnormal changes in the 60 cases in all types of white spot in the majority (36 cases) of the cervix should be leukoplakia biopsy to rule out the existence of early cancer

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