Post Date September, 22 2023
Many people are aware of the disease of genital warts, but their symptoms have a certain incubation period, and many patients cannot detect the disease in a timely manner. How can genital warts be diagnosed?
How to diagnose genital warts?
1. Diagnosed based on the appearance of the wart
The typical surface of genital warts is rough and uneven, with a general appearance of thorns, cauliflower, nipples, cockscomb, or pedicled roots. Therefore, when single or multiple decorative organisms with rough surface, small papules, thorns, nipples, cauliflower like appearance, or chicken crowns or roots with pedicle or fused into patches are found in the external genitalia, around the anus, perineum, or vagina, they can basically be considered as genital warts.
2. Identification based on acetic acid white test
Non typical appearance of warts can be differentiated and diagnosed by combining acetic acid white test (this test can be done at home). The method is to prepare 3% -5% acetic acid (white vinegar with a concentration of 4% -6%, which can be used as an identification solution for genital warts). Apply gauze and tissue soaked in white vinegar to the growth enhancer, and observe if the protrusions turn white after 3-5 minutes. If there is a significant whitening of the growth cells and a positive reaction occurs, it can be diagnosed as genital warts.
3. Perform pathological examination
If the appearance is neither typical nor obvious after the acetic acid white test, a pathological examination can be performed to confirm the growth. The characteristic cells of genital warts are concave cells. If diagnostic concave cells can be detected by histopathology, it can be diagnosed as genital warts.
3. Examination of tissue pathological changes
The epidermis presents papillomatous hyperplasia with hypertrophic spinous layer. Mild hyperkeratosis and incomplete keratosis on the surface. Vacuolated cells can be seen in the spinous cells and granular layer, with a larger cell body and a circular deeply stained nucleus. The nucleus is vacuolated and lightly stained, and there are filaments connecting the nuclear membrane and serosa, making the cells appear like cat's eyes. Vacuolated cells are a characteristic feature of genital warts, particularly in the middle and upper layers of spinous cells.
How to treat genital warts
1. Western medicine treatment
Patients with small or solitary genital warts can choose to use medication for treatment, such as 20% iodine tincture, 18% peracetic acid, 0.25% herpetic acid ointment, acyclovir, and other commonly used drugs. However, for multiple or large genital warts, medication is generally not used for treatment. It is also recommended that patients with more severe conditions can choose other treatment methods.
