Abstract
Background
The development of genuine vaginal carcinoma onto a completely prolapsed uterus is a very rare condition to deal with.
Case
We report here the clinical characteristics of a patient with vaginal carcinoma associated with a third-degree prolapsed uterus. The 80-year-old patient was admitted with a completely prolapsed uterus. The cervix was clinically normal but on the nearby prolapsed vaginal wall a large exophytical hard lesion had been developed. Biopsy of the lesion revealed squamous carcinoma.
Treatment
The treatment performed was radical vaginal hysterectomy and excision of the upper two-thirds of the vagina without pelvic lymphadenectomy, followed by external beam irradiation. The patient is alive, with no signs of the disease 3.5 years after surgery.
Conclusion
Surgical and radiotherapeutic treatments can be effectively combined in patients with vaginal carcinoma and complete genital prolapse, in order to improve survival benefits and reduce morbidity.
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References
McGowan L (1995) The management of elderly patients with gynecologic cancer. Curr Opin Obstet Gynecol 7:53–6
American Cancer Society: facts and figures 2006. Atlanta
Kucera, Vavra N (1991) Primary carcinoma of the vagina: clinical and histopathological variables associated with survival. Gynecol Oncol 40:12
Manetta A, Gutrecht EL, Berman Ml (1990) DiSaia Primary invasive carcinoma of the vagina. Obstet Gynecol 76:639–42
Morrow CP, Curtin JP (1998) Synopsis of gynecologic oncology. Churchill Livingstone, Philadelphia
Meier HM, Schopohl B (1995) Extensive vaginal carcinoma with total prolapse—a therapeutic problem. Zentralbl Gynakol 117(3):160–3
Bernal Bastidas S, Chavira Alvarado A, Briseno Garcia LM (1989) Primary invasive carcinoma of the vagina and 3rd degree genital prolapse. Presentation of a case. Ginecol Obstet Mex 57:305–7
Rao K, Kumar NP, Geetha AS (1989) Primary carcinoma of vagina with uterine prolapse. J Indian Med Assoc 87(1):10–2
Howat JM, Stassan L, Mohandas I, Daw E (1984) Carcinoma of the vagina presenting as a ruptured procidentia with an entero-vaginal fistula and prolapse of small bowel. Postgrad Med J 60(704):435–6
Cazzola D, Luciani L (1965) Uterine prolapse and carcinoma of the uterus and vagina. Minerva Ginekol 17(14):715–720
Marone D, Desimone G (1963) Total genital prolapse and cancer of the vagina. Casuistic contribution. Gazz Int Med Chir 68(suppl):3767–72
Rocker I (1958) Malignant changes in procidentia. J Obstet Gynecol Br Emp 65:89
Jeffcoate N (1987) Principles of gynaecology, 5th edn. Butterworth and Heinemann, Oxford, p 600
Borges da Silva B, Araujo R, Filho C, Melo J (2001) Carcinoma of the cervix in association with uterine prolapse. Gynecol Oncol 84:349–50
Chyle V, Zagars GK, Wheeler JA (1996) Definitive radiotherapy for carcinoma of the vagina: outcome and prognostic factors. Int J Radiat Oncol Biol Phys 891–905
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Iavazzo, C., Vorgias, G., Vecchini, G. et al. Vaginal carcinoma in a completely prolapsed uterus. A case report. Arch Gynecol Obstet 275, 503–505 (2007). https://doi.org/10.1007/s00404-006-0284-2
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DOI: https://doi.org/10.1007/s00404-006-0284-2