Vaginal Cancer: Diagnosis
How is vaginal cancer diagnosed?
If your healthcare provider thinks you might have vaginal cancer, you will need certain
exams and tests to be sure. Diagnosing vaginal cancer starts with your healthcare
provider asking you questions. You will be asked about your health history, symptoms,
risk factors, and family history of disease. A physical exam and a pelvic exam will
be done. This allows your healthcare provider to look at your vagina and feel other
organs in your pelvis to check for tumors or lumps.
What tests might I need?
You may have one or more of these tests:
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Pelvic exam. This exam of the vagina and pelvis allows your healthcare provider to check for abnormal
areas, such as lumps. They can also check the size, shape, and position of your uterus
and ovaries.
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Pap test. This test is done during a pelvic exam. A swab is wiped on the cervix or vagina to
pick up cells. The cells are then checked under a microscope. They’re checked for
any signs of cancer or precancer, infection, or inflammation.
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Biopsy. A biopsy is when small pieces of tissue from the vagina are taken out and tested
for cancer. A biopsy may be done during a colposcopy. It's the only way to know for
sure that cell changes in the vagina are cancer and what type of cancer it is.
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Colposcopy. This test uses a lighted magnifying tool called a colposcope to closely examine the
cervix and vagina. The colposcope stays outside your body and the healthcare provider
looks through it. If abnormal tissue is found, a small piece of it may be removed
so it can be checked for cancer. This is called a colposcopic biopsy.
Getting your test results
When your healthcare provider has the results of your tests, they will contact you
with the results. Your healthcare provider will talk with you about other tests you
may need if vaginal cancer is found. This may include repeating the biopsy or more
tests. Make sure you understand the results and what you need to do next.