A Case of Vaginal Cancer with Uterine Prolapse
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Primary vaginal cancer combined with uterine prolapse is very rare. We present a case of 80-year-old postmenopausal women complaints of something coming out per vagina for the past 20 years, along with blood stained discharge, foul odor leukorrhea, and severe pelvic pain for the last 3 months. A 4 × 5 cm ulcer was present on middle third of vaginal wall with marked edema and ulceration of surrounding tissue. The prolapse was reduced under intravenous sedation in operating room. On gynecologic examination, uterus was normal in size, no adnexal mass was examined, and both parametrium were thickened. Papanicolaou smear was normal. Biopsy of the ulcer at vaginal wall revealed invasive squamous cell carcinoma of vagina. Magnetic Resonance Imaging of abdomen and pelvis showed left hydronephrosis and liver metastasis. Positron emission tomography (PET)/computed tomography (CT) revealed metastasis to lung, liver and iliac bone. She died from progression of disease one month after diagnosis.
Abstract
Primary vaginal cancer combined with uterine prolapse is very rare. We present a case of 80-year-old postmenopausal women complaints of something coming out per vagina for the past 20 years, along with blood stained discharge, foul odor leukorrhea, and severe pelvic pain for the last 3 months. A 4 × 5 cm ulcer was present on middle third of vaginal wall with marked edema and ulceration of surrounding tissue. The prolapse was reduced under intravenous sedation in operating room. On gynecologic examination, uterus was normal in size, no adnexal mass was examined, and both parametrium were thickened. Papanicolaou smear was normal. Biopsy of the ulcer at vaginal wall revealed invasive squamous cell carcinoma of vagina. Magnetic Resonance Imaging of abdomen and pelvis showed left hydronephrosis and liver metastasis. Positron emission tomography (PET)/computed tomography (CT) revealed metastasis to lung, liver and iliac bone. She died from progression of disease one month after diagnosis.
참고문헌 (13)
- Benedet JL, "FIGO staging classifications and clinical practice guidelines in the management of gynecologic cancers. FIGO Committee on Gynecologic Oncology", Int J Gynaecol Obstet, 70, pp.209~262 (2000)
- Iavazzo C, "Vaginal carcinoma in a completely prolapsed uterus. A case report", Arch Gynecol Obstet, 275, pp.503~505 (2007)
- Karateke A, "Management of a case of primary vaginal cancer with irreducible massive uterine prolapse--a case report", Eur J Gynaecol Oncol, 27, pp.528~530 (2006)
- Creasman WT, "Vaginal cancers", Curr Opin Obstet Gynecol, 17, pp.71~76 (2005)
- 박준식, "Lichen Sclerosus in a Post-Menopausal Woman: A Case Report", 대한폐경학회지, 18(1), pp.70~73 (2012), 대한폐경학회[DOI]
- Berek JS, "Berek and Hacker’s gynecologic oncology" (2010), Lippincott Williams & Wilkins
- Barakat RR, "Principles and practice of gynecologic oncology" (2009), Lippincott Williams & Wilkins
- Howat JM, "Carcinoma of the vagina presenting as a ruptured procidentia with an entero-vaginal fistula and prolapse of the small bowel", Postgrad Med J, 60, pp.435~436 (1984)
- Ghosh SB, "Primary invasive carcinoma of vagina with third degree uterovaginal prolapse: a case report and review of literature", Arch Gynecol Obstet, 279, pp.91~93 (2009)
- Gupta N, "A rare case of primary invasive carcinoma of vagina associated with irreducible third degree uterovaginal prolapse", Arch Gynecol Obstet, 276, pp.563~564 (2007)
- Rao K, "Primary carcinoma of vagina with uterine prolapse", J Indian Med Assoc, 87, pp.10~12 (1989)
- Fonseca AM, "Colposcopic, cytologic and histologic findings in patients with uterine prolapse of second and third degree", Arq Bras Med, 62, pp.273~275 (1988)
- Cho KI, "To cases of uterine prolapse combined with cervical carcinoma", Korean J Obstet Gynecol, 36, pp.3351~3357 (1993)