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.
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.
Authors: Christopher P Chung; NhuChi T Dao; Mark T Wakabayashi; Thanh H Dellinger; Stephen J Lee; Ernest S Han Journal: Int Urogynecol J Date: 2018-08-18 Impact factor: 2.894
Authors: Adrian Kohut; Taylor Whitaker; Logan Walter; Susan Y Li; Elinor Han; Stephen Lee; Mark T Wakabayashi; Thanh H Dellinger; Ernest S Han; Lorna Rodriguez-Rodriguez; Christopher Chung Journal: Int Urogynecol J Date: 2022-05-02 Impact factor: 2.894