Squamous Papilloma: Is It Contagious and Does It Require Treatment? - Obstetrics and Gynecology

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Squamous Papilloma


Hello Doctor, could you please tell me if this pathology report indicates a contagious condition? Is treatment necessary? I had an HPV test last June that came back normal, and a routine Pap smear at the end of March this year that was also normal.
However, I have two raised lesions at the vaginal opening, and the doctor performed a biopsy.
Here is the report:
Clinical Diagnosis: R/O condyloma
Pathological Diagnosis: Skin, perineal region, excisional biopsy.
Squamous papilloma
Gross Description: Specimen received, labeled as perineal region, consists of two pieces of gray-white formalin-fixed tissues, measuring up to 0.2 x 0.1 x 0.1 cm in greatest dimension.
All for section.

Microscopic Description: Microscopically, the sections show polypoid structures composed of delicate fibrovascular core lined by mature squamous epithelium.
There is no evidence of malignancy in the sections examined.

Thank you, Doctor, for your explanation.

Xiao Xiao, 30~39 year old female. Ask Date: 2022/04/14

Dr. Huang Zifei reply Obstetrics and Gynecology


Dear Little One,
Squamous papilloma is considered to result from hyperproliferation of squamous cells.
Vulvar squamous papilloma typically presents as exophytic lesions in the vulva and vestibule, mostly asymptomatic, but may occasionally be associated with itching and burning sensations.
It is not sexually transmitted, and approximately 1% to 33% of women may have such variations in their genital area.
Treatment is not necessary.
If you have any further questions, please consult with a physician in the obstetrics and gynecology department.
Dr.
Huang Zifei, Department of Obstetrics and Gynecology, Nantou Hospital

Reply Date: 2022/04/14

More Info


Squamous papilloma is a benign epithelial tumor that typically appears as a small, raised lesion on the skin or mucous membranes. It is characterized by a polypoid structure composed of a fibrovascular core lined by mature squamous epithelium, as noted in your pathology report. Importantly, squamous papillomas are generally not contagious. They are often associated with human papillomavirus (HPV) infections, particularly types that are considered low-risk for cancer, such as HPV 6 and 11. However, the presence of squamous papilloma does not imply that you have an active HPV infection, especially since your previous HPV tests were negative.

In terms of treatment, squamous papillomas do not typically require intervention unless they cause discomfort, irritation, or cosmetic concerns. If the lesions are asymptomatic and not changing in size or appearance, a watchful waiting approach may be appropriate. Regular follow-up with your healthcare provider is advisable to monitor any changes. If the papillomas become bothersome or if there is uncertainty about the diagnosis, they can be surgically excised. This is usually a straightforward procedure performed under local anesthesia.

Your report indicates that there is no evidence of malignancy, which is reassuring. The benign nature of squamous papillomas means that they do not pose a risk of cancer development. However, it is essential to differentiate them from other lesions, such as condylomas (genital warts), which are also caused by HPV but can be more concerning due to their potential for recurrence and association with higher-risk HPV types.

Given your history of normal HPV testing and the benign nature of the squamous papilloma, it is unlikely that you need to worry about contagion or serious health implications. However, maintaining regular gynecological check-ups and discussing any new symptoms or concerns with your healthcare provider is crucial. If you notice any changes in the lesions, such as increased size, color changes, or discomfort, you should seek medical advice promptly.

In summary, squamous papillomas are benign and not contagious. They typically do not require treatment unless symptomatic. Regular monitoring and communication with your healthcare provider are key to managing your health effectively. If you have further questions or concerns, do not hesitate to reach out to your doctor for personalized advice and reassurance.

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