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Diagnostic discrepancy between colposcopy and vaginoscopy: A case report
Qing Li1, Hong-Wei Zhang1, Long Sui1
1Diagnosis and Treatment Center of Cervical Disease, OBG Hospital of Fudan University, Shanghai 200000, China.
World Journal of Clinical Cases
|August 9, 2021
Summary
Colposcopy can be unsatisfactory for deep vaginal lesions. Combining colposcopy with vaginoscopy improved diagnosis of vaginal precancerous lesions and cancer.
Area of Science:
- Gynecology
- Oncology
- Diagnostic Imaging
Background:
- Colposcopy is crucial for diagnosing lower genital tract diseases.
- Unsatisfactory colposcopy, where the entire transformation zone or lesions are not visualized, can lead to misdiagnosis.
- Integrating vaginoscopy with colposcopy may enhance diagnostic accuracy.
Observation:
- A case involving a posthysterectomy patient with a deep vaginal apex lesion not fully visualized by colposcopy.
- Initial colposcopy biopsy indicated a vaginal precancerous lesion.
- Vaginoscopy was employed to achieve complete visualization of the lesion.
Findings:
- Vaginoscopy successfully exposed the entire vaginal lesion.
- The subsequent biopsy after vaginoscopy revealed vaginal squamous cell carcinoma.
- The combined approach facilitated a precise diagnosis.
Implications:
- The combination of colposcopy and vaginoscopy offers improved visualization for complex cases.
- This integrated method aids in accurate diagnosis and timely treatment of vaginal lesions.
- Early detection of vaginal cancer through enhanced colposcopic techniques is critical for patient outcomes.
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