外阴扁平苔藓的临床病理分析

Clinicopathologic analysis of lichen planus vulvae

目的:探讨外阴扁平苔藓的临床病理学特征。方法:对2017年收治的1例外阴扁平苔藓进行组织学观察并复习相关文献。结果:扁平苔藓是一种皮肤和粘膜的炎症性疾病,当发生在外阴时,病理分型可以分为皮肤型、粘膜性、混合型,粘膜型扁平苔藓又分为网状型和糜烂型。结论:扁平苔藓的准确诊断十分重要,因为糜烂型扁平苔藓可能需要免疫抑制治疗。此外,外阴出现慢性扁平苔藓是容易发生鳞状细胞癌的公认因素。

Objective:To study the clinicopathologic features of lichen planus vulvae.Methods:A case of lichen planus of vulva treated in The People′s Hospital of Linqu in 2017 was studied by histological observation and related literature was reviewed.Results:Lichen planus was an inflammatory disease on the skin and mucosa and the skin,mucosa and mixed type could be observed in vulva.Conclusions:Accurate diagnosis of lichen planus is very important,since erosive lichen planus may require immunosuppressive therapy.In addition,chronic lichen planus in vulva is also a recognized factor for squamous cell carcinoma.