Condyloma acuminatum-related questions and answers

  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, which people are prone to warts
  The most common are the sexually active young and middle-aged men and women, the peak age of onset is 20-25 years old.
  
  CA is an STD that is transmitted through sexual contact.
  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 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 is in the external genitalia of men and women and the perianal area, male more in the coronal groove, foreskin tether 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 condyloma acuminata 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), which are dome-shaped, similar in color to the skin, and often found on relatively dry sites (e.g., penis).
  (3) flat genital warts (natgenitalwart), difficult to identify directly with the naked eye, is a subclinical injury that usually requires special means (such as treating the skin surface with a 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 vaginal local leucorrhea and other reasons to make their warts grow particularly rapidly, usually multiplied than normal women, and 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 impure sexual intercourse.
  2, typical skin lesions for the genital or perianal and other moist parts of the papule, papilla, cauliflower or cockle-shaped fleshy redundancy, the surface rough keratinized.
  3, positive white acetate test, pathological sections can be seen 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.Can white acetate test 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
If the wart has a tendency to develop slowly, it is a low-grade malignant process, which is called 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 patients themselves find warts as early as possible?
  If the warts can be found early and treated, the problem is 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.
  The actual fact is that you will be able to find out more about the actual actual actuality.
  1, genital squamous carcinoma.
  Mostly seen in over 40 years old or elderly, lesions downward infiltration, ulceration, histopathological characteristic changes.
  2, flat eczema.
  For multiple wet papules fused into a sheet of lesions, mostly seen in the perianal area, the lesions can be found syphilis spirochetes, syphilis serologic test is positive.
  3, pearly penile papulosis.
  For the arrangement along the coronal groove, pinhead and corn-sized skin-colored or light pink papules. Histopathology without concave hollow cells.
  4, pseudomonal warts.
  The damage is confined to the labia minora in the form of corn-like reddish papules or villi-like changes, the surface of the lesions is smooth, the white acetate test is negative, and there are no hollow cells with diagnostic significance on the pathology.
  5, Bowen-like papulosis.
  For brownish red or pigmented papules, histopathology can see heterogeneous squamous cells and histological signs similar to carcinoma in situ.
  23, how to treat condyloma acuminata?
  The actual fact is that there are many ways to treat condyloma acuminatum, which is 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 efficacy, high clearance rate, 1-3 times treatment up to 98.42%, low recurrence rate, is currently the only one can clear the HPV subclinical infection and latent infection foci, can significantly reduce the recurrence rate, recurrence rate is only 6-10.77%. It is currently the ideal treatment program for the treatment of acromegaly.
  29, photodynamic therapy treatment is safe?
  High safety: non-invasive, no scars; 7.67% incidence of adverse reactions (53.57% for CO2 laser treatment group);
  30.What are the advantages of photodynamic therapy treatment?
  High clearance rate, low recurrence rate, can remove HPV subclinical infection and latent infection lesions, treatment without anesthesia, no pain, no trauma, no scar. It is especially suitable for the treatment of special anatomical areas such as inside the urethra, inside the cervix and around the anus. It is especially suitable for the treatment of recurrent condyloma acuminata and patients who are not treated with other therapies.
  31, can food therapy be used for the supplementary treatment of warts?
  In the books of Chinese medicine, there are indeed a lot of food therapy prescriptions to help the recovery of condyloma acuminata. The common feature of them is that they have the function of clearing heat and detoxification, removing dampness and eliminating warts. The following are a few of the dietary remedies for readers’ reference.
  (1) snake tongue grass drink (“Chinese medicine dictionary”)
  Composition: 30~60g of white flower snake tongue grass
  The actual fact is that you will be able to get a lot more than just a few of these.
  Indications: Acute warts identified by Chinese medicine as toxic heat.
  (2) Sarsaparilla drink (“Dictionary of Chinese medicine”)
  Ingredients: sarsaparilla root 500g licorice 25g
  How to use: Decocted twice in water, the filtrate is combined and then concentrated to 100mL with a gentle fire, 50mL per serving, twice daily.
  Indications: Acute warts are identified by Chinese medicine as toxic heat.
  32, what should be noted in the treatment of condyloma acuminata?
  Treatment precautions.
  During the treatment period should be prohibited intercourse: abstain from eating: alcohol, seafood, spicy, coffee, strong tea and other stimulating food. The principle of treatment of sexually transmitted diseases: 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.
  33, condyloma acuminata why easy to recur?
  1, warts are complex.
  Some warts root large and deep, some fusion adhesion into pieces, their own mutual transmission, forming a huge stubborn warts. The actual fact is that you can find a lot of people who are not able to get a lot of money from the internet. 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.
  2, improper treatment methods.
  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.
  3, reinfection.
  One of the spouses is cured while the other is subclinically infected or a virus carrier, after contact leading to cross-infection. 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, poor physical condition, low immune function.
  There are many patients with diabetes, hepatitis, or often by the cold weak, and at the same time suffer 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.
  34, circumcision and penile warts recurrence of the relationship?
   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 groove, foreskin plate skin mucosa shedding of 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.
  35, 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.
  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.
  3, choose the right treatment plan: electrocautery and other physical methods, only the warts can be treated. In addition, electrocautery and other surgical methods, subject to the doctor’s level of operation, especially small warts, depth is not easy to grasp, these are the important reasons for the high rate of recurrence. The subclinical infection (already infected with HPV virus, but not yet warts). The actual fact is that you can’t see the warts, you can’t take effective treatment measures.
  
  36, 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.
  37. Is the HPV vaccine effective in preventing and treating warts? What is the current status of research?
  The vaccine against condyloma acuminata 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 a sufficient amount 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.
  38, how to prevent infection or reinfection of condyloma acuminata?
  In order 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.
  39, what is the trend of condyloma acuminata?
  In recent years, the incidence of the world has increased dramatically, in some countries even become the most common sexually transmitted diseases. The incidence of domestic in recent years is also gradually increasing trend in the incidence of sexually transmitted diseases second only to gonorrhea. The second most common sexually transmitted disease in China.
  40, suffering from condyloma acuminata what harm?
  It is difficult to eradicate. It is a very good idea to have a good look at the website.
  41, what are the ways to get infected with condyloma acuminata?
  The two kinds of direct and indirect infections. The newborn can also be infected through the birth canal.
  42, 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 a lot of things.