by Volker Schneider, MD, FIAC, Pathology Laboratory, Freiburg, Germany

CASE HISTORY:
44 year old female patient for vaginal check-up by her gynecologist. Status post total vaginal hysterectomy for uterine fibroids 4 months ago. Post-coital bleeding and vaginal spotting since a couple of weeks.

Clinically, a polypoid lesion of 2,5 cm in the vaginal cuff (Fig. 1), easily bleeding and painful upon touch, a vaginal smear and a biopsy are being taken.

	Figure 1: Colposcopic image of a 2,5 cm polypoid lesion in the vaginal cuff
	Figure 2: Vaginal smear: (Papanicolaou, conventional, 200 x)
	Figure 3: Vaginal smear, higher power (Papanicolaou, 400 x)