The doctor said I had white shifts in my vulva, a little in the vulva insult that is a little whiter than the skin, and the doctor prescribed a gynecological cleanser to soak and rub the (do not remember the name), so after almost two months of looking at it, she said the white shifts had worsened and told me to transfer to the dermatology department, and the doctor did not say anything else. The doctor said that I have to cure this disease how? The diagnosis of vulvar leukoplakia is no longer used. If you go to a major hospital, if there is no discomfort, no itching, and no expansion, consider local pigmentation loss, no treatment. If there is itching, skin thickening or enlargement, then a biopsy should be taken. Patient: Now there is no itching and no enlargement, but the doctor said that it is whiter than before, so there will be skin cancer. I don’t know whether the skin is thickened or not, how can I know? The actual fact is that you can find a lot of people who are not able to get a good deal on this. 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 this. The name vulvar leukoplakia has been abandoned since the 1970s. The etiology of this group of diseases has long been unknown, and it is speculated that it may be a nonspecific disease or a connective tissue disorder. Whitening of the vulvar skin or mucosa with varying degrees of itching. The pathology broadly classifies this group of diseases into: nonspecific chronic vulvodynia (or chronic proliferative vulvodynia); atrophic sclerosing lichen planus; atrophic sclerosing lichen planus combined with epithelial proliferation; neurodermatitis; and white keratosis. The basic pathological changes are: epidermal hyperplasia or atrophy with reduced pigmentation of the basal layer of the epidermis; superficial dermal banded edema with stromal homogenization and vitreous changes and pigment incontinence; and lymphocytic and plasma cell infiltration and monocytosis in the mid-dermis. These lesions are based on capillary and small vessel endothelial cell-like vacuolar degeneration, widening of intercellular junctions, and altered permeability. The most important thing is to understand whether the white vulvar epithelial cell proliferation you mentioned is beyond normal, you do not feel comfortable, and the doctor said it is not allowed, let’s do a biopsy Patient: Is it necessary to do a biopsy to cut some flesh from the top? If the test results are fine, is it not necessary to take care of it? Zhang Hong: Yes, if it’s just a hyperplasia, follow up can be done