Li Q, Zhang HW, Sui L, Hua KQ. Diagnostic discrepancy between colposcopy and vaginoscopy: A case report. World J Clin Cases 2021; 9(21): 5943-5947 [PMID: 34368312 DOI: 10.12998/wjcc.v9.i21.5943]
Corresponding Author of This Article
Ke-Qin Hua, MD, PhD, Chief Doctor, Professor, Department of Gynecology, Obstetrics and Gyncology Hospital of Fudan University, No. 128 Shenyang Road, Shanghai 200090, China. huakeqinjiaoshou@163.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 26, 2021; 9(21): 5943-5947 Published online Jul 26, 2021. doi: 10.12998/wjcc.v9.i21.5943
Diagnostic discrepancy between colposcopy and vaginoscopy: A case report
Qing Li, Hong-Wei Zhang, Long Sui, Ke-Qin Hua
Qing Li, Hong-Wei Zhang, Long Sui, Diagnosis and Treatment Center of Cervical Disease, OBG Hospital of Fudan University, Shanghai 200000, China
Ke-Qin Hua, Department of Gynecology, Obstetrics and Gyncology Hospital of Fudan University, Shanghai 200090, China
Author contributions: Li Q collected the clinical data and drafted the manuscript; Zhang HW performed colposcoy and vaginoscopy; Sui L conceived of the study; Hua KQ reviewed the manuscript; all authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: All authors have no conflicts of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ke-Qin Hua, MD, PhD, Chief Doctor, Professor, Department of Gynecology, Obstetrics and Gyncology Hospital of Fudan University, No. 128 Shenyang Road, Shanghai 200090, China. huakeqinjiaoshou@163.com
Received: February 2, 2021 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
Abstract
BACKGROUND
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.
CASE SUMMARY
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.
CONCLUSION
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.
