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Case 1

History

A G1P0 divorced lady who was not sexually active for a few years, was a non-smoker and enjoyed good past health. She presented with vulval pain, urinary frequency and urgency for 6 months, being treated by private general practitioner for repeated urinary tract infection. She finally consulted a private gynaecologist in July 2010. A Pap smear was taken which showed atypical glandular cells, favour neoplastic. High vaginal swab showed streptococci and Proteus species while STD screening, such as VDRL, HIV and Herpes Simplex II, were all negative. Colposcopy was performed for abnormal Pap smear.

 

 

 

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