1, what is condyloma acuminata?
The clinical manifestation is mainly the formation of local wart-like hyperplasia lesions, of which HPV 16, 18 type long-term infection is related to the occurrence of female pregnant cervical cancer.
2, who are prone to warts?
The most common are sexually active young and middle-aged men and women, the peak age of onset is 20-25 years old.
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CA is an STD that is transmitted through sexual contact. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
4, the incubation period of condyloma acuminata is generally how long?
The incubation period varies from 1 to 8 months, the average is 3 months.
5, what is the pathogen of condyloma acuminata?
The pathogen is a human papillomavirus (HPV).
6.What is the human papillomavirus? What subtypes are associated with condyloma acuminata?
Human papillomavirus is a DNA virus with a circular double-stranded superhelix structure of about 43-55 nm in diameter. There are at least 80 types of HPV found in lesions of the genital tract, 15 of which are associated with CA. The most common ones are HPV types 6, 11, 16, and 18.
7. Is HPV present in the blood? Does it spread?
8, condyloma acuminata in which parts?
The most common occurrence in the external genitalia and perineum of men and women, male more in the coronal groove, foreskin tied glans, urethra and foreskin; female more in the vulva after the joint, labia minora, vaginal wall and cervix, outside the genital area may occasionally occur.
9, what are the discomfort symptoms of condyloma acuminata?
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The secondary infection can be accompanied by pain, female vaginal and cervical damage can be manifested as increased leucorrhea or bleeding after sexual intercourse. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
10, the typical condyloma acuminata have what appearance?
The typical skin lesions are cauliflower-shaped, papillary, prickly, cockle-shaped, etc.
11, what are the rare types of condyloma acuminata?
The types of rare warts are: (1) keratinized genital warts (keratohcgenitalwart), the surface keratinized and thickened, much like common warts or seborrheic keratosis, mostly present on dry surfaces; (2) smooth papillary genital warts (smooth papillary genital wart), are dome-shaped, similar to the color of the skin, often in relatively dry The most important thing is that it is not a problem to identify the genital warts directly with the naked eye, but a subclinical injury that usually requires special means (such as treating the skin surface with 3%-5% acetic acid solution) to detect.
12, why pregnant women condyloma acuminata grow especially fast?
The body hormone level changes in pregnant women, changes in the regulation of the immune system, as well as the vaginal local leucorrhea and other reasons to make their warts grow especially fast, usually multiplied than normal women, some even affect the smooth passage of the birth canal. Some women are infected with the virus before they get pregnant, but they are not aware of it because they are in the incubation period or the warts are small. Some are infected after pregnancy. In any case, if you want to know if you are suffering from warts, you should go to a specialist unit for the necessary tests to confirm the diagnosis.
13, pregnant women warts affect the baby? The actual fact is that you will be able to get a lot more than just a few of the most popular and most popular items.
The reason is that condyloma acuminata only grows in the epidermis including the vulva, vagina and cervix. They do not usually spread in the uterus and have no effect on the growth of the baby. However, in pregnant women, warts are affected by the body’s immune system and grow very fast, often in the shape of a cauliflower. This disease in pregnant women can be treated locally with laser or topical herbal medicine, i.e., abortion is not necessary. If CA is very large, affect the baby from the birth canal delivery available Caesarean section. After the birth of the baby, the pregnant woman must be a comprehensive examination and treatment.
14, condyloma acuminata can cause cancer?
The epidemiological data shows that there is a close association between condyloma acuminata and genital cancer. 5% to 10% of the vulva, cervix and perianal condyloma acuminata can develop over a period of time and develop into in situ cancer or invasive cancer. It has also been found that 15% of penile cancers and 5% of female vulvar cancers occur on the basis of the original condyloma, especially cervical cancers, and malignant changes are associated with HPV-16, 18, 31, and 33 types in particular. Giant condyloma acuminatum can be secondary to cancer. Many laboratory studies have further shown a causal relationship between HPV, condyloma acuminatum and genital cancer. Condyloma acuminatum of the vulva, penis or perianal area can transform into squamous cell carcinoma. This transformation usually takes 5 to 40 years. Therefore, it is important to treat condyloma acuminata early and eradicate it completely, as inappropriate treatment and stimulation can accelerate malignant transformation”. But this rate is very low. This is similar to the rate and time span (5-40 years) that smoking causes cancer. The vast majority of warts are not cancerous, so there is no need to worry about this all day. In addition, a large percentage of the population in the reproductive system of healthy women who do not have warts can also be found with HPV infection. HPV infection is now a more common gynecological infection, and most women are transient, often unknowingly clearing it up.
15, how to diagnose condyloma acuminata?
(1) A history of unclean sexual intercourse.
(2) The typical lesions are papules, papillae, cauliflower or corpuscles, fleshy redundancies on the genital or perianal area and other moist areas with rough keratinized surfaces.
(3) Positive white acetate test, pathological section can be seen as dyskeratosis and concave hollow cells.
(4) Nucleic acid hybridization can detect HPV-DNA related sequences, and PCR test can see specific HPV-DNA amplification bands.
16, white acetate test can be used to diagnose condyloma acuminatum?
The white acetic acid test: 3-5% acetic acid external coating warts 2-5 minutes, the lesions become white slightly elevated, anal lesions may take 15 minutes. The principle of this test is the result of protein coagulating with acid and turning white. The CDC suggests that the white acetate test is not a specific test and false positives are more common.
17, acromegaly patients suitable for immunohistological examination?
The peroxidase anti-peroxidase method (i.e. PAP) is commonly used to show viral proteins within the warts to prove that there are viral antigens in the wart damage. when the HPV protein is positive, there can be a light red weak positive reaction within the superficial epithelial cells of the condyloma acuminata.
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. If there is viral antigen in the lesion, the antigen-antibody combination. In the peroxidase-anti-peroxidase (PAP) method, the nucleus can be stained red. This method is specific and more rapid, which is helpful for diagnosis.
19, what are the pathological features of condyloma acuminata?
The spiny cells and basal cells have a considerable amount of nuclear division and resemble carcinoma. However, the cells were regularly arranged and the boundary between the proliferating epithelium and dermis was clear. It is characterized by the formation of vacuoles in the granular layer and the upper cells of the spiny layer. These vacuolated cells are larger than normal, with a light cytoplasmic color and a large, round, deeply basophilic nucleus in the center. Bushke-loewenstein giant condyloma acuminatum has extreme downward epidermal growth that replaces the underlying tissue and is easily mixed with squamous cells, so multiple biopsies are required. If there is a tendency for slow progression, it is a low-grade malignant process known as verrucous carcinoma.
How does genetic diagnosis apply to condyloma acuminata?
To date, HPV is difficult to detect by traditional viral culture and serological techniques, the main experimental diagnostic technique is nucleic acid hybridization. The PCR method developed in recent years has the advantages of specificity, sensitivity, simplicity and speed, opening up new avenues for HPV detection.
21, how can the patients themselves find warts as early as possible?
If the warts can be found early and treated, the problem will be simple and painless. If you are too late to find out, the warts will be bigger or more widespread, and the treatment will be more troublesome and painful for the patient, and it is easy to have recurring attacks. The actual fact is that you can find a lot of people who are not able to get a good deal on this. The average incubation period for warts is three months. Anyone who has had sexual intercourse outside of marriage within six months should be aware.
22, condyloma acuminata and what diseases to distinguish?
(1) genital squamous carcinoma; mostly seen in the 40s or older, lesions downward infiltration, ulcers, histopathology has characteristic changes.
(2) Flat warts: multiple wet papules fused into a sheet-like lesion, mostly seen in the perianal area, the lesions can be detected syphilis spirochetes, syphilis serologic test is positive.
(3) pearly penile papillomatosis: a skin-colored or light pink papule along the coronal sulcus, the size of a pinhead and a corn. Histopathology is free of concave hollow cells.
(4) Pseudomonal warts; the damage is confined to the labia minora in the form of small, fish-egg-shaped reddish papules or villous changes, the surface of the lesions is smooth, the white acetate test is negative, and there are no hollow cells of diagnostic significance on pathology.
23, how to treat condyloma acuminata?
The actual fact is that there are many ways to treat condyloma acuminata, which are a combination of local and systemic therapies. The actual fact is that you can find a lot of people who are not able to get a good deal on this.
24, freezing can treat condyloma acuminata?
It has a large number of small blood vessels and proliferates rapidly. The use of freezing causes ice to form within the condyloma acuminatum, creating a high degree of localized edema of the tissue and thus destroying the wart. The biggest advantage of cryotherapy is that it leaves no local traces and the cure rate is about 70%, but the recurrence rate is high. Local redness, swelling, pain and blistering can occur during treatment. It can be done by spray or direct contact method and is suitable for flat and small warts. Usually freeze once a week for 2 to 3 times.
25, carbon dioxide laser is suitable for the treatment of which warts?
The superficial warts are suitable; it is characterized by fast results, at the time of treatment, the warts can be removed. The most common is the carbon dioxide laser, cauterized warts, generally 1 time can make warts off. The cure rate is 80%. The rate of recurrence is high.
26, electric cautery treatment of warts how effective?
In the past, physicians commonly use high-frequency electric knife or electric iron cautery common warts, pigmented moles and other skin abnormalities. It is easy to operate and quick to see, but has a high damage and a high recurrence rate. The high-frequency electric knife can directly remove and dry the warts, the treatment is also more thorough, but the electric cautery sore surface is slow to heal. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. It is also important to pay attention to aseptic operation to prevent infection. High-frequency electrodes or electroacupuncture are more appropriate for the treatment of smaller lesions of the cervix or vagina. Larger warts need to be electrocautery in batches.
27.Is surgical excision suitable for the treatment of condyloma acuminatum?
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. In order to prevent recurrence, after surgery with other treatments. The actual fact is that you can find a lot of people who are not able to get a good deal on this.
28, photodynamic therapy for condyloma acuminata how effective?
The actual effectiveness, high clearance rate, 1-3 times treatment up to 98.42%, low recurrence rate, is currently the only one can remove HPV subclinical infection and latent infection foci, can significantly reduce the recurrence rate, recurrence rate is only 6-10.77%. It is the ideal treatment program for acne warts.
29, photodynamic therapy treatment is safe?
High safety: non-invasive, no scars; adverse reaction rate 7.67% (CO2 laser treatment group is 53.57%); 30, photodynamic therapy treatment has what advantages?
High clearance rate, low recurrence rate, can remove HPV subclinical infection and latent infection lesions, treatment does not require anesthesia, painless, non-invasive, no scars. It is especially suitable for the treatment of special anatomical sites such as the urethra, the cervix, and the perineum, and is particularly suitable for the treatment of recurrent condyloma acuminata and patients who have been treated ineffectively with other therapies.
31, condyloma acuminata treatment should pay attention to what?
The principle of treatment of STDs: sexual partners should be examined and treated at the same time to prevent ping-pong style infection. CA patients who have not been cured for a long time should be screened for HIV.
32, why is condyloma acuminata easy to recur?
(1) warts are very complex: some warts root large and deep, some fusion adhesion into pieces, their own mutual transmission, forming a huge stubborn warts. The doctor lacks patience, care and experience, some warts are so small that they are almost invisible, some grow in hidden places, easy to miss treatment, leaving a hidden danger to recurrence.
(The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
(The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. This is a good way to get the most out of your life.
(4 ) poor health, low immune function: there are a lot of diabetes, hepatitis and other patients, or often by the cold weak, while suffering from warts disease, there is no rule system of treatment program, the patient is not well with the treatment, but also very easy to relapse.
The reason for this may be that the local environment of the glans and coronal sulcus is warm and humid due to the long foreskin, and the pathogens can easily grow and multiply under the warm and humid conditions. In addition, because of the foreskin affects the normal metabolism of the glans, coronal sulcus, foreskin plate skin mucosa shedding necrotic cells discharge, causing foreskin scale, so that local minor inflammation, the long-term stimulation of the inflammation is also a factor that triggers the recurrence of CA.
34, how to reduce the recurrence rate of condyloma acuminata?
(The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
(2) Sexual partners are treated at the same time is the prerequisite to ensure the cure, one of the spouses is not treated is an important cause of recurrence.
(3) Choose the right treatment plan: physical methods such as electrocautery can only treat warts. In addition, electrocautery and other surgical methods, subject to the doctor’s level of operation, especially small warts, the depth is not easy to grasp, these are important reasons for the high rate of recurrence. The subclinical infection (already infected with HPV virus, but has not grown warts). The Department, because the warts can not be seen, can not take effective treatment measures.
35, condyloma acuminata will be self-healing?
The actual GW is also like the usual skin warts, which will spontaneously shrink or disappear after a few months or even years.
36. Is the HPV vaccine effective in preventing and treating warts? What is the current status of research?
The vaccine to prevent warts has become a research hotspot in recent years. The HPV virus particles at the wart lesion site are few and far between, and it is not possible to obtain sufficient amounts of virus particles from cell culture, so HPV vaccine research is focused on genetic engineering to produce HPV subunit vaccines. The ongoing HPV vaccine research is expected to provide a powerful means of preventing and treating condyloma acuminata.
37, how to prevent infection or reinfection of condyloma acuminata?
To prevent infection or reinfection of condyloma acuminata, the fundamental method is to strictly comply with monogamy, to prevent sexual promiscuity, to be clean, in addition to prevent indirect infection, advocate the use of public towels, bath towels, not in the shared bathtub bath.
38, what is the trend of condyloma acuminata?
In recent years, the incidence of the world has increased sharply, and in some countries has even become the most common sexually transmitted diseases. The incidence in recent years has been on the rise, second only to gonorrhea in the incidence of sexually transmitted diseases. The second most common sexually transmitted disease in China.
39, suffering from condyloma acuminata what harm?
It is difficult to eradicate. It is a very good idea to have a good time.
40, what are the ways to get infected with condyloma acuminata?
The two kinds of direct and indirect infections. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The newborn can also be infected through the birth canal.
41, condyloma acuminata can be cured?
The actual fact is that you can find a lot of people who are not able to get a good deal on this.
42, how to register for the special outpatient clinic for condyloma acuminata?
The first Affiliated Hospital of the People’s Liberation Army General Hospital, the first floor of the outpatient clinic can be registered dermatology condyloma acuminata special clinic.
43.How can I find Dr. Zhang Yunjie to see a doctor?
Go to the first affiliated hospital of the PLA General Hospital to register for the dermatology department on the first floor and go to the photodynamic therapy center room 17 on the east side of the fourth floor of the clinic.
44.How long does it take to treat condyloma acuminata?
Photodynamic therapy a course of three times, a need to treat a day, the morning dressing, dressing 3-6 hours after the light, the entire treatment process in about 5 hours, about ten days to do once, the whole course of treatment to one to two months.
45.What items need to be checked for photodynamic therapy?
Photodynamic here routinely need to check the 4 items before the mirror. The results will be available on the same day.
46.Does photodynamic therapy require hospitalization?
Usually, hospitalization is not required.
47.Can I go to work after photodynamic therapy?
You can go to work normally the day after photodynamic therapy.
48.Do I need to make an appointment for photodynamic therapy?
Usually it is better to make an appointment because there are many patients. Or you can make an appointment here.
49, can warts be treated with photodynamic therapy?
It is possible to treat warts with photodynamic therapy, and the recurrence rate is low and non-invasive.