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Arch Gynecol Obstet. 2007 Jun;275(6):503-5. Epub 2006 Nov 23.

Vaginal carcinoma in a completely prolapsed uterus. A case report.

Author information

  • 1Department of Gynecology, METAXA Memorial Cancer Hospital, Piraeus, Greece. christosiavazzo@hotmail.com

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.

PMID:
17123094
[PubMed - indexed for MEDLINE]
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