I have a child 3.8 years old suffered 3 months ago (middle of October) from vaginal spotting for 3-4 days we made alot of investigations (ultrasound, hormonal profile, bleeding profile, cbc, urine analysis )and everything was totally free the bleeding stopped with no ttt. and without diagnosis. Then on the middle of December my child suffered again from spotting with profuse pus discharge so we repeated again the ultrasound that was normal, the urine analysis normal also then a C/S from the pus that revealed presence of gram –ve diploccoci (Niesseria gonorrhoea) we were very astonished from that organism as we are dead sure there is no abuse so we thought to be a contamination from a toilette or hands or a care giver in the school or so, she was treated with a ceftriaxone on the maximum dose 50mg/kg (1 gr /day) IV for 5 days then on the way we went to a urologist that decided that she has an abscess in her pelvis so we continued another 6 days of augmentin after the ceftriaxone then I was afraid from the adhesions of an abscess so I decided to take her to a paediatric surgeon to ask about the possibility of adhesions he examined her and found that there is still few drops of pus on her vulva inspite of the 11 days of antibiotics and he refused totally the idea of an abscess especially that the child had no ever had fever her ultrasound was free and an MRI was done that was also free (only the US at the urologist clinic revealed that abscess) so he decided to make an examination under general anaesthesia being sure that he will find a foreign body (a part of a tissue or so ) so a vaginoscope was done last Wednesday (through her hymen) and the surgeon was so astonished to find multiple cervical polyps were he took punched biopsies for pathology (no FB there) and the DD was RMS or granulomas or infected papillomas and the result came to be infected papillomas with superficial ulceration the surgeon was not satisfied by the result as he was nearly sure that what he saw is a malignancy so we reread the pathology slides by another pathologist that said the sample is very scanty to be sure it is an inflammation and that the false diagnosis in such a case is 100% so he has to consider it malignancy (embryonic rhabdomyosarcoma) till prove otherwise by a repeated biopsy of at least 0.5 cm and that we have to proceed as quickly as possible for not to lose the high cure rate of such a disease if it is really present but the surgeon cannot ever take such a biopsy via the hymen as no place to pass through and even if it is only an inflammation he does not know how to remove all the papillae he saw via her hymen Now we don’t know how to proceed, whom to believe, what to do, can we treat our child right, can we even know her diagnosis, and if they told me a diagnosis do I have to believe and treat according You know how many diagnoses were told to us since my child began to suffer, do you know that it is really scaring to be told that your child may suffer from cancer By the way to know I am a paediatrician and worked for about 5 years as a paediatric oncologist so I know well what is a malignancy and how does the child suffer but it is my first time to be the parent that really suffer We were told to take the child and travel away to be seen by other doctors in the US or France but we can’t afford that I can’t believe the night mare me and her father is living in so please help us as soon as you read my mail because I really lost trust in all the doctors now and I can’t believe any one and every second in my child’s life is so precious Please help