A rare case of primary vaginal carcinoma with systemic metastasis with uterovaginal prolapses
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20162680Keywords:
Primary vaginal cancer, Uterovaginal prolapse, ChemotherapyAbstract
Primary vaginal cancer in a prolapsed uterus is a very rare condition. Here we report a rare case of carcinoma of vagina with early systemic metastasis presenting in a middle aged women with uterovaginal prolapse. A 46 year old postmenopausal lady presented with complaints of mass per vagina with foul smelling discharge per vagina. On gynaecological examination, an irreducible uterovaginal prolapse and a 6 × 6 cm ulcer was present on upper 1/3 of lateral vaginal wall. Biopsy of the ulcer suggested squamous cell carcinoma of vagina. She was given palliative chemotherapy.References
Pride GL, Schultz AE, Chuprevich TW. Primary invasive carcinoma of the vagina. Obstet Gynecol. 1979; 53:218-25.
Daling JR, Madeleine MM, Schwartz SM. A population-based study of squamous cell vaginal cancer: HPV and cofactors. Gynecol Oncol. 2002;84:263-70.
Herbst AL, Ulfelder H, Poskanzer DC. Adenocarcinoma of the vagina: association of maternal stilbestrol therapy with tumor appearance in young women. N Engl J Med. 1971;284:878-81.
Daling JR, Madeleinre MM, Schwartz SM. A population-based study of squamouscell vaginal cancer: HPV and cofactors. Gynecol Oncol. 2002;84:263-70.
Stock RG, Chen AS, Seski J. A 30-year experience in the management of primary carcinoma of the vagina: analysis of prognostic factors and treatment modalities. Gynecol Oncol. 1995;56:45-52.
Tjalma WA, Monaghan JM, de Barros Lopes A. The role of surgery in invasive squamous carcinoma of the vagina. Gynecol Oncol. 2001;81:360-5.
O'Dell K, Atnip S. Pessary care: follow up and management of complications. Urol Nurs. 2012;32(3):126-36.
