Published in:
01-06-2007 | Case Report
Vaginal carcinoma in a completely prolapsed uterus. A case report
Published in: Archives of Gynecology and Obstetrics | Issue 6/2007
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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.