A rare case of primary vaginal carcinoma in prolapsed uterus

Authors

  • Sanjay C. Department of Obstetrics and Gynaecology, KMC, Maniapal Academy of Higher Education, Mangalore, Karnataka
  • Bharathi Rao Department of Obstetrics and Gynaecology, KMC, Maniapal Academy of Higher Education, Mangalore, Karnataka
  • Sharadha Rai Department of Obstetrics and Gynaecology, KMC, Maniapal Academy of Higher Education, Mangalore, Karnataka

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20210341

Keywords:

Cancer, Prolapse, Uterus, Squamous cell carcinoma

Abstract

Primary carcinoma is rare in gynaecological neoplasia. Vaginal carcinoma in prolapse uterus is extremely rare. We hereby present a case of 55-year-old P3L3 postmenopausal woman with complete uterine prolapse with fungating growth of 6x8 cm with two decubitus ulcers of 1x1 cm. Marginal biopsy showed well-differentiated squamous cell carcinoma of vagina. Investigation was done showed no metastasis. Patient was diagnosed with stage 2 disease. Patient underwent 5 cycles of chemotherapy with 2 cycles of radiotherapy and is being followed up. The importance of biopsy of ulcer in cases of UV prolapse in order to exclude malignancy to avoid incomplete treatment has been illustrated through this case. The need of careful evaluation of vaginal erosions in pelvic organ prolapse has been highlighted. As there is lack of well-defined treatment protocols for vaginal cancer with concurrent prolapse, the case also underlines the importance of a multidisciplinary approach involving gynaecological oncology, urogynaecology, medical oncology, surgical oncology and radiation oncology.

Author Biography

Bharathi Rao, Department of Obstetrics and Gynaecology, KMC, Maniapal Academy of Higher Education, Mangalore, Karnataka

Associate Professor, Department of OBG, KMC, Maniapal Academy of Higher Education, Mangalore

References

Creasman WT. Vaginal cancers. Current opinion in obstetrics and gynaecology. 2005;17(1):71-6.

FIGO Committee on Gynecologic Oncology. Current FIGO staging for Cancer of the Vagina, Fallopian tube and Gestational trophoblastic neoplasia. Int J Gyneco Obstet. 2009;105:3-4.

Benedet JL, Bender H, Jones H III, Ngan HY, Pecorelli S. FIGO staging classifications and clinical practice guidelines in the management of gynecologic cancers. Int J Gynaecol Obstet. 2000;70(2):209-62.

Donato A. Vaginal cancers. In: Santos CER, Mello ELR, editors. Surgical oncology handbook. Sa˜o Paulo: Tecmed; 2006;555-60.

Iavazzo C, Vorgias G, Vecchini G, Ngan HY, Katsoulis M, Akrivos T. Vaginal carcinoma in a completely prolapsed uterus. A case reports. Arch Gynecol Obstet. 2007;275(6):503-5.

Sonkusare S, Vishwanathb, Shetty J, Harikumar S, Murthi P, Muralidharan V. Primary vaginal cancer complicating massive uterine prolapse: A case report. J Cases Obstet Gynecol. 2016;3:92-5.

Pratap K, Malhotra N. Tumors of vagina, Jeffcoat’s Principles of Gynaecology, 8th Ed, Jaypee brothers. 2014;426.

Wang Y, Li Q, Du H, Lv S, Liu H Uterine prolapse complicated by vaginal cancer: a case report and literature review. Gynecol Obstet Invest. 2014;77(2):141-4.

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Published

2021-01-28

Issue

Section

Case Reports