Have Itchy Sores On Outer Vulva. No Relief From Antifungal Itch Creams. What's Going On?
 
                                    
                                    
                                          
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                                           Tue, 19 Feb 2013
                                           
                                        
                                        
                                        
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                                                Tue, 19 Feb 2013
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Mon, 18 Mar 2013
                                                
                                                
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                                            Question : I have itchy weepy sores in my pubic area by my outer vulva. I recently went through chemo and several surgeries. I have tried OTC anti-fungal itch creams but they just burn and dont really help. The onky thing that has helped is coconut oil. Any idea what is goiing on? I originally thought it was a severe candida problem due to the atibiotics but now I am not so sure. Pleas help.
                            
                                    Hello,
Thanks for your query.
Before coming to the diagnosis, i would like to have some more information like:
1. Which surgeries did you undergo other than hysterectomy and breast surgery.
2. When was breast cancer detected and when did you get operated for the same?
3. What was the histopathological report of the breast specimen removed surgically.
4. Do you have symptoms of foul-smelling vaginal discharge?
5. Are the sores painful and hard to touch?
6. Why was Hysterctomy done 12 years back. Any histopathological report available?
Waiting for your reply,
regards,
Dr Nilofer
                                    
                            Thanks for your query.
Before coming to the diagnosis, i would like to have some more information like:
1. Which surgeries did you undergo other than hysterectomy and breast surgery.
2. When was breast cancer detected and when did you get operated for the same?
3. What was the histopathological report of the breast specimen removed surgically.
4. Do you have symptoms of foul-smelling vaginal discharge?
5. Are the sores painful and hard to touch?
6. Why was Hysterctomy done 12 years back. Any histopathological report available?
Waiting for your reply,
regards,
Dr Nilofer
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hello Dr Nilofer,
1. Small carcinoma removed from leg 5 yrs ago, the Breast was a double mast with reconstruction, the Hysterectomy only uterus was removed ovaries still have
2. Diagnosed 8-2010, 1st surg was dbl Mast 2-2012 followd by 6 chemo treatments and a second surgery to place the implants.
3. Ductal stage 3 grade 3 estrogen pos. There was a large fiud sac around the tumor which had cancer cells floating it in also, undetermined if it spread.
4. the odor comes and goes
5. Yes the weeping tears are very sore and very itchy
6. Hysterectomy was due to an extermenly large cyst, no cancer was found
Please let me know it you need anything else.
thank You
                            1. Small carcinoma removed from leg 5 yrs ago, the Breast was a double mast with reconstruction, the Hysterectomy only uterus was removed ovaries still have
2. Diagnosed 8-2010, 1st surg was dbl Mast 2-2012 followd by 6 chemo treatments and a second surgery to place the implants.
3. Ductal stage 3 grade 3 estrogen pos. There was a large fiud sac around the tumor which had cancer cells floating it in also, undetermined if it spread.
4. the odor comes and goes
5. Yes the weeping tears are very sore and very itchy
6. Hysterectomy was due to an extermenly large cyst, no cancer was found
Please let me know it you need anything else.
thank You
                                    Hello,
Thanks for your immediate reply.
Your symptoms of itchy weeping sores could be due due eczema or fungal infection of vulva.
Other cause i want to rule out is paget's disease of vulva.
There is an association between ductal carcinoma of breast and paget's disease.
The most common symptoms of Paget's disease are itching and patches of red and white scaly skin on the vulva, similar in appearance to eczema.
Diagnosis is done by removing a small piece of tissue(biopsy) and examining it under a microscope.
Treatment is by simple excision of affected part.
So, i recommend you to visit your Gynecologist for detailed examination .
Get a biopsy done if indicated by your doctor.
Maintain personal hygiene.
Use only clean and cotton undergarments.
Avoid moisture. Keep the are clean and dry.
Hope this helps,
regards,
Dr Nilofer
                                    
                                    
                                    
                                    
                                    
                            Thanks for your immediate reply.
Your symptoms of itchy weeping sores could be due due eczema or fungal infection of vulva.
Other cause i want to rule out is paget's disease of vulva.
There is an association between ductal carcinoma of breast and paget's disease.
The most common symptoms of Paget's disease are itching and patches of red and white scaly skin on the vulva, similar in appearance to eczema.
Diagnosis is done by removing a small piece of tissue(biopsy) and examining it under a microscope.
Treatment is by simple excision of affected part.
So, i recommend you to visit your Gynecologist for detailed examination .
Get a biopsy done if indicated by your doctor.
Maintain personal hygiene.
Use only clean and cotton undergarments.
Avoid moisture. Keep the are clean and dry.
Hope this helps,
regards,
Dr Nilofer
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Thank you Dr Nilofer. I appreciate your help
                                
                            
                                    Thank you XXXXXXX.
If you do not have any more queries please close the discussion and rate the answer.
Wish you early recovery. Stay happy.
regards,
Dr Nilofer
                                    
                            If you do not have any more queries please close the discussion and rate the answer.
Wish you early recovery. Stay happy.
regards,
Dr Nilofer
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
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