Vulvar epidermoid cysts

　　One, etiology

　　The occurrence of epidermoid cysts may be due to the following possibilities:

　　1. Residual tissue from the ectoderm that differentiates towards the epidermis.

　　2. Obstruction of hair follicle sebaceous gland ducts.

　　3. Caused by surgical trauma, small pieces of epidermis are planted into the dermal tissue, which is more common in places where surgery has been performed, such as perineal incision and suture, perineal repair.

　　Two, pathogenesis

　　Epidermoid cysts are composed of epidermis, and their cyst wall includes the prickle cell layer, granular layer and keratinocytes of the epidermis. The outer layer of the cyst wall also shows epithelial pegs. The inner surface of the cyst commonly shows aggregation of superficial keratinocytes. Cutting the cyst wall, it presents as grayish white bean curd-like material, which is filled with keratin protein and arranged in layers. If it has been for a long time and the intracystic pressure is large, the squamous epithelium is compressed into a very thin layer of flat epithelium. Sometimes, in the adjacent tissues near the cyst wall, there may be foreign giant cell reaction, which is caused by keratinization破出.

　　Epidermoid cysts are composed of epidermis, and their cyst wall includes the prickle cell layer, granular layer and keratinocytes of the epidermis. The outer layer of the cyst wall also shows epithelial pegs. The inner surface of the cyst commonly shows aggregation of superficial keratinocytes. Cutting the cyst wall, it presents as grayish white bean curd-like material, which is filled with keratin protein and arranged in layers. If it has been for a long time and the intracystic pressure is large, the squamous epithelium is compressed into a very thin layer of flat epithelium. If not properly treated, the cyst may rupture and cause infection.

　　Growth is slow, generally without special symptoms, there is a round mass with a diameter of about 1 cm in the intradermal or subcutaneous tissue of the perineum, solitary or multiple, hard texture, slightly raised on the skin surface, but there is no pore on the skin surface, and it can move with the skin.

　　One, prevention

　　1. Strengthen the physique, eat more fresh fruits and vegetables rich in vitamins and meat, fish, eggs, milk, etc. rich in protein. Exercise more, improve immunity.

　　2. Preventive measures related to the cause can be taken. Pay attention to observing the skin condition of the external genitalia of the suspected individual.

　　Second, before treatment

　　It is necessary to have a detailed understanding of the symptoms of the disease and the related contraindications.

　　The diagnosis of vulvar epidermoid cysts, in addition to clinical manifestations, also requires indispensable related examination methods. Common examinations include:

      1. Secretion examination, white blood cell count.

　　2. Histopathological examination.

　　One, dietary therapy for vulvar epidermoid cysts

　　1. Salvia miltiorrhiza and赤芍each 15 grams, raw Pohuashui, Wulingzhi, Xiakucao each 10 grams, prepared Myrrha and prepared Molybdenum each 5 grams, decocted in water for internal use, for activating blood circulation and removing blood stasis, softening hardness and dissipating masses.

　　2. 50 grams of niter, grind into coarse powder, apply to the abdominal wall. Indication: soften and resolve nodules. Used for uterine anterior wall leiomyomas and those with thin abdominal walls.

　　3. Angelica root tail 20 grams, dahurian angelica, cassia bark, and cinnamon each 15 grams, and wild mugwort 30 grams. Grind into coarse powder, place in a gauze bag, place on the abdominal wall of the leiomyoma, cover with a hot water bag, and apply heat for 30 minutes each time. Indication: dissolve blood stasis and resolve nodules.

　　Second, what foods are good for vulvar epidermoid cysts

　　1. Eat more foods with anti-tumor effects: horseshoe crabs, sea horses, turtles, Dragon珠 tea, hawthorn.

　　2. Red fruits and vegetables such as red apples and red peppers contain certain natural plant chemical components that can effectively inhibit the growth of some gynecological tumor cells and reduce their responsiveness to estrogen, thus having a preventive effect on gynecological tumors. In addition, onions, purple grapes, and other fruits and vegetables also have similar effects.

　　Third, what foods should not be eaten for vulvar epidermoid cysts

　　1. Eat more vegetables: Eat less spicy and aromatic dispersing products such as chili, coriander, and celery.

　　2. Poultry and livestock: Eat less warm and warm tonifying products such as rooster, crucian carp, dog meat, lamb, and beef.

　　3. Seasonings: Use less spicy and dispersing products such as chili, Sichuan pepper, star anise, and cassia.

　　4. Melon and fruit: Eat less tonifying products such as dried lychee and dried longan.

　　5. Tonifying products: Take less tonifying products such as red ginseng, American ginseng, Korean ginseng, and deer antler.

　　First, prevention:

　　1. Strengthen the physique, eat more fresh fruits and vegetables rich in vitamins and meat, fish, eggs, milk, etc. rich in protein. Exercise more, improve immunity.

　　2. Preventive measures related to the cause can be taken. Pay attention to observing the skin condition of the external genitalia of the suspected individual.

　　Second, before treatment:

　　It is necessary to have a detailed understanding of the symptoms of the disease and the related contraindications.

　　The Western medical treatment for vulvar epidermoid cysts usually does not require treatment. If the cysts enlarge, symptoms appear, secondary infection occurs, or it is necessary for diagnosis {Although epidermoid cysts can become cancerous, they should not be considered as precancerous lesions}, surgical resection can be considered for treatment.