A representative false PSCC case (Patient No. 19). a. Several small crowds of malignant cells appeared PSCC-like on the colposcopic selective biopsy in Patient No. 19. b. Patient No.19 had a 13-mm-sized invasive lesion on the anterior lip of the cervix (T2-weighted sagittal MRI). c. The surgical specimen of Patient No. 19 showed destructive invasion extending to deep stroma with lymphovascular space invasion, which was predominant over the papilla-like exophytic growth (H and E, 20 X). Consequentially, we obtained a diagnosis of non-keratinizing SCC.