Published online Jul 26, 2021. doi: 10.12998/wjcc.v9.i21.5943
Peer-review started: February 2, 2021
First decision: April 25, 2021
Revised: May 7, 2021
Accepted: June 7, 2021
Article in press: June 7, 2021
Published online: July 26, 2021
Colposcopy currently plays a vital role in the diagnosis and treatment of lower genital diseases. Exposure and biopsy are two key steps in colposcopy. When the whole transformation zone or all lesions cannot be observed, we judge colposcopy as unsatisfactory. Unsatisfactory colposcopic examination may lead to the misdiagnosis of more severe diseases. The combination of colposcopy and vaginoscopy may contribute to accurate diagnosis and clinical decisions.
Here, we introduce a case of posthysterectomy deep vaginal apex not fully exposed by colposcopy, and the biopsy result was a vaginal precancerous lesion. We adopted vaginoscopy to extend the observed area and expose the lesion thoroughly, and the biopsy result was vaginal squamous cancer.
The patient received a precise diagnosis and early surgery due to the combination of colposcopy and vaginoscopy.
Core Tip: Combined with cervical screening, colposcopy greatly decrease the incidence of cervical cancer. Exposure and biopsy are two key steps in colposcopy. When the whole transformation zone or the entire lesions are not observed, we judge it as unsatisfactory. For type 3 transformation zone, some clinicians employ cervicoscopy as supplement. However, there were no related solutions for the dilemma caused by adhesion or obstruction. Here, we report a case of post hysterectomy deep vaginal apex not fully exposed in colposcopy, and the biopsy result was vaginal precancerous lesion. We adopted vaginoscopy to extend and expose the lesion thoroughly and the biopsy result was vaginal squamous cancer.