Biopsy

My Dr did a a half half. Positioned the punch on half healthy looking half diseased looking.

My Dr initially said she would do 3 areas that showed something. She ended up taking 6- swiss cheese vulva! And all 6 spots came back LS. The only spot she did not touch was up near my clitoris because it was so swollen and inflamed and she said the skin was much more senditive/ thinner here and she didn’t want it to hurt too much. 

She removed a white patch, I have more. It came back as severe LS, with nests of squamous cells. So, using betamethasone until October, then back for another biopsy. The Lab wants a larger sample, as they said that differentiated squamous cell carcinoma could not be excluded. My other Oncologist said they think it's pre-cancer. One step at a time, just take care of yourself!!

Mine was taken fron healthy but sore spot.came back negative.thank goodness

My Biopsy was done on affected spot, came back with LS is on Clobetasol 0.05 % for 4 weeks then 3 times a week. The biopsy area hurt for 7 days. Not as bad now. Still in early phase of treatment, but was told more biopsy will need to be done, and if I notice any other issue come right back.

 

My GYN did not do a biopsy.  She showed me the spot in a mirror.  Is a biopsy absolutely necessary?

My biopsey was done on a spot near my vagina.  I have no white spots but do have silver plaques. The biopsy came back positive for LS. I was prescribed clobetasol 1x per day at night for a month and then follow up with Gyn then. I had no itching but have fusing of  the Labia minora.  Some burning.  Also using borax soaks every day and then apply the clobetasol.  

My biopsy was taken from an area doctor referred to as scar tissue.  The vulva is completely gone now so I think the "scar" area was really just the last thickened vulva tissue that was left.  Regardless the biopsy from that are came back negative for precancerous tissue.  She also extracted tissue from another area where the skin color was white.  That came back precancerous.  She went back in a second time and extracted even more tissue which was normal and healthy which came back even more significantly precancerous and they wanted to do another extraction surgery.  My concern at the time was that these extractions were causing the skin at the opening of the vagina to become tightened.  So I chose to go to a oncologist who specializes in LS.  She said no more surgery at this time.  She is monitoring it's progression every 4 months.  It is supposed to have a slow progression and in some cases once it is extracted the body can defend itself on it's own and destroy whatever it is left.  Personally I think that's a long shot from what I am reading.  They claim due to the progression that I have had LS for a very long time - many years.  However my husband, doctor and myself know that the deterioration of my vulva happened within a years time.  I had a pap every year and everything was normal looking.  I had none of the common side effects of LS.  I went to the gynecologist March 2018 because I found the thickened skin which looked like a white lump. 

The situation now is that the skin around my vagina (caused by the extraction surgery) is so tight that I can not have intercourse with my husband without pain and tearing the skin. I have used a very tiny amount of coconut oil - a little goes a very long way.  This has helped with lubrication and I also think with healing.  I find warm baths - no soap - just plain water also help with the healing process.   

I am allergic to the premarin steroid cream. 

In conclusion - I wish I had gone to the oncologist after the fist precariousness biopsy came back.  She would not have performed the extraction surgeries.  Her philosophy is to wait and watch.  When the time comes for extraction she will try to repair what has already been done.  Hope this helps.  Good luck with everything.