Vaginal carcinoma in a completely prolapsed uterus. A case report

被引：15
作者：
Iavazzo C. [1 ,3 ]
Vorgias G. [1 ]
Vecchini G. [2 ]
Katsoulis M. [1 ]
Akrivos T. [1 ]
机构：
[1] Department of Gynecology, METAXA Memorial Cancer Hospital, Piraeus
[2] Department of Pathology, METAXA Memorial Cancer Hospital, Piraeus
[3] Nea Ionia, Athens 14231
来源：
Archives of Gynecology and Obstetrics | 2007年 / 275卷 / 6期
关键词：
Uterine prolapse; Vaginal cancer;
D O I：
10.1007/s00404-006-0284-2
中图分类号：
学科分类号：
摘要：
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. © 2006 Springer-Verlag.
引用
收藏
页码：503 / 505
页数：2
相关论文
共 15 条
  • [1] McGowan L., The management of elderly patients with gynecologic cancer, Curr Opin Obstet Gynecol, 7, pp. 53-6, (1995)
  • [2] American Cancer Society: Facts and Figures 2006
  • [3] Kucera, Vavra N., Primary carcinoma of the vagina: Clinical and histopathological variables associated with survival, Gynecol Oncol, 40, (1991)
  • [4] Manetta A., Gutrecht E.L., Ml B., DiSaia Primary invasive carcinoma of the vagina, Obstet Gynecol, 76, pp. 639-42, (1990)
  • [5] Morrow C.P., Curtin J.P., Synopsis of Gynecologic Oncology, (1998)
  • [6] Meier H.M., Schopohl B., Extensive vaginal carcinoma with total prolapse-a therapeutic problem, Zentralbl Gynakol, 117, pp. 160-3, (1995)
  • [7] Bernal Bastidas S., Chavira Alvarado A., Briseno Garcia L.M., Primary invasive carcinoma of the vagina and 3rd degree genital prolapse. Presentation of a case, Ginecol Obstet Mex, 57, pp. 305-7, (1989)
  • [8] Rao K., Kumar N.P., Geetha A.S., Primary carcinoma of vagina with uterine prolapse, J Indian Med Assoc, 87, pp. 10-2, (1989)
  • [9] Howat J.M., Stassan L., Mohandas I., Daw E., Carcinoma of the vagina presenting as a ruptured procidentia with an entero-vaginal fistula and prolapse of small bowel, Postgrad Med J, 60, pp. 435-6, (1984)
  • [10] Cazzola D., Luciani L., Uterine prolapse and carcinoma of the uterus and vagina, Minerva Ginekol, 17, pp. 715-720, (1965)
12