Post-coital bleeding is the most common complaint and is often later followed by an offensive watery discharge.
Spread may occur locally into the paravaginal connective tissues, bladder and rectum, and occasionally, fistulae may form from the vagina to the bladder or rectum.
Lymphatic spread occurs from upper vaginal lesions to pelvic and para-aortic nodes, and from lower lesions, to nodes in the groin.
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