Vaginal discharge that looks like black water
Introduction
Introduction The vaginal discharge is a black water sample mainly due to the symptoms caused by vaginal melanoma. The vaginal vaginal discharge is a black water-like health search, also known as "black belt." There may be bloody odorous purulent secretions when the infection is combined.
Cause
Cause
The cause of vaginal discharge is black water:
It is because of the appearance of melanoma in the vagina.
Examine
an examination
Related inspection
Vaginal secretion examination vaginal gynecological routine examination
The vaginal discharge is checked for black water samples:
Vaginal melanoma has a typical clinical manifestation. Gynecological examination of vaginal lesions is relatively easy to obtain a clinical diagnosis, suspicious patients can be perforated biopsy or resection of the full-thickness lesions for pathological examination. The margin includes a normal vaginal mucosa of 1 to 2 cm to prevent the tumor from spreading during biopsy. The rapid frozen examination of the resected tissue confirms the scope of the operation according to the situation. The cytological smear examination of the vagina can contribute to the rapid diagnosis of the disease. Non-epithelial malignant cells can be seen on the smear.
Diagnosis
Differential diagnosis
Vaginal drainage is a black water-like confusing symptom differential diagnosis:
Vaginal melanoma should be distinguished from other rare melanoma-containing tumors such as pigmented neurofibromas and malignant schwannomas. The types of vaginal melanoma cells are diverse, especially the non-pigmented vaginal melanoma is easily misdiagnosed with squamous cell carcinoma, vaginal adenocarcinoma and sarcoma. The rate of misdiagnosis is 20%. It was mainly identified by immunohistochemical staining and electron microscopy and other diseases. Electron microscopy was more accurate than HMB-45 staining. It should also be thought of distinguishing from the rare vaginal mucosa melanin, and excluding metastasis of other sites and malignant melanoma of adjacent organs. The change of mucosal junction is the most reliable basis for proving the primary.
Vaginal melanoma has a typical clinical manifestation. Gynecological examination of vaginal lesions is relatively easy to obtain a clinical diagnosis, suspicious patients can be perforated biopsy or resection of the full-thickness lesions for pathological examination. The margin includes a normal vaginal mucosa of 1 to 2 cm to prevent the tumor from spreading during biopsy. The rapid frozen examination of the resected tissue confirms the scope of the operation according to the situation. The cytological smear examination of the vagina can contribute to the rapid diagnosis of the disease. Non-epithelial malignant cells can be seen on the smear.
