Cancer small and large labia
Vulvar cancer takes the 4th place among all oncological diseases (after cancer of the uterus, cervix, vagina). Quite rare, about 3% of women. Among the most often recorded in the elderly, after about 70 years, but lately there is a trend detection of tumors of the labia in young women.
Thanks to the achievements of world science, modern Oncology is growing rapidly, therefore early diagnosis is of great importance in the treatment of malignant diseases. Women who have reached postmenopause, very rarely go to gynaecologists. In this regard, cancer of the labia is already diagnosed at a late stage, which complicates treatment and makes full recovery impossible. With the development of the disease starts the process of metastasis to other organs, as the vulva is very developed lymphatic and blood flow, and cancer cells have the ability to spread throughout the body.
Causes and risk factors
There are various factors that lead to the development cancer of the labia, an interesting hypothesis:
- The most important is the viral hypothesis. Some types of papillomavirus and herpes infections are officially carcinogenic factors. A carcinogen is an agent that can cause development of malignant tumors.
- Endocrine-metabolic changes and reduction in estrogen and disorders of lipid and carbohydrate metabolism, leading to age-related degeneration of the mucous membrane of the vulva, hypoplastic changes in the tissues.
Background (pre-cancerous) condition is a disease, as kraurosis vulva. This term refers to the types of degenerative changes (hyperplastic dystrophy and sclerosing Lychen). They manifest as thinning and dryness of the tissues of the vulva, which leads to wrinkling and brittleness of the skin in this area, the appearance of white spots on the mucous membrane.
Degenerative processes cause a feeling of intolerable itching in the perineum, which is especially worse at night. The most informative method of diagnosis is the morphological study of biopsy material, the study of the clinical picture.
The above risk factors may not lead to cancer if first appeared discomfort in the vulva to see a specialist, and conduct appropriate therapy.
- Diet. It is necessary to exclude from the diet of spicy, salty, sweet foods, eat those products, which provoke itching.
- Desensitizing therapy. Appointed by hypnotics and sedatives.
- Hormonal therapy. Corticosteroids, estrogens short course.
- Combined degeneration with menopause is a mandatory condition of appointment of replacement therapy combination drugs.
- Radical methods, such as laser photocoagulation, cryotherapy, plastic surgery.
- In the presence of HPV and herpes uses antiviral drugs.
Long duration degenerative processes, the absence of effect from conservative therapy, presence of abrasions, cracks due to constant scratching leads to addictive to this morbid state, in this regard, the appearance of small tumor formations do not cause much suspicion among the patient, the more these nodules occur in several places, and quickly ulcerate.
Cancer most commonly develops in the region of the labia majora and clitoris, becomes very rapid, aggressive course. This is due to the blood supply and lymphatic drainage, there are many blood vessels, which contributes to the rapid growth of the tumor on the genital lip and spread to the vagina, the perineum, the urethra. Rarely occurs and is more relaxed and long-term cancer in the region of the labia minora, because the blood flow in them is much weaker developed.
Diagnosis and treatment
Symptomatic tumor development in the reproductive lip may be manifested by increased pain, itching, deterioration of General condition, the appearance of weakness, fatigue, weight loss. Palpation reveals a painless seal with clear boundaries. Over the process of education increases, softens, ulcers that bleed. The diagnosis of cancer of the reproductive rude is necessary to make a histological examination of the biopsy of the tumor and for confirmation of metastases is needed the puncture of lymph nodes.
Depending on the forms, stages and factors of cancer are the choice falls on surgical treatment (vulvectomy), radiation therapy or chemotherapy. The prognosis depends on the patient’s age. The most favorable outcome is seen in women under 50 years. In patients of elderly and senile age, the prognosis is much worse, since the frequency of nodal metastasis is very high.