Contact Bleeding - Differential Diagnosis

• Contact bleeding is mainly caused by ectopy and/or inflammation
• In rare instances it is caused by invasive cancer
• Cytology and colposcopy may underdiagnose invasive disease
• Histopathology is needed to rule out invasive disease
• Contact bleeding can be caused by invasive cancer
• Prior to any hemostyptic treatment histopathologic evaluation is mandatory
• Cytology may underdiagnose cancer associated with contact bleeding
• Colposcopy may underdiagnose adenocarcinoma associated with contact bleeding