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Cancer of the vagina can be primary and metastatic (secondary). Among all malignant diseases of the genital organs of female primary cancer of the vagina is only 1-2% can occur at any age but mainly in the 50-60 years.
In most cases, vaginal cancer is metastatic, it is - a consequence of the transition to malignancy of the cervix and uterus to the vaginal wall. Metastatic cancer affects the vagina of the arches and the bottom third
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The predominant age - 45-65 years: for squamous variants - 35-70 years for clear cell carcinoma.
For women who have been prenatally exposed diethylstilbestrol (DES), the average age of the development of clear cell adenocarcinoma of the vagina is 19.5 years.
The risk of developing this cancer in women aged 24 years, underwent in utero DES exposure, ranging from 0.14 / 1000 1,4 / 1000.
The reason for vaginal cancer is unknown, except for clear ce... Read more »
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The pathogenesis of cancer of the vagina is poorly understood. Background for development of dysplasia and then cancer of the vagina may be prussic colpites arising out of involutive and degenerative changes in elderly and old age, do not exclude the role of viral infection in the pathogenesis of the disease. Proved the possibility of cancer of the vagina after radioindutsirovanogo co-radiation treatment of malignant tumors of the uterus.
By analogy with cer... Read more »
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In the early stages of the disease remains asymptomatic vaginal cancer. In the following appear leucorrhoea, spontaneous or contact isolation ichor from the genital tract. With the growth and decay of the tumor attached to the pubic pain, sacrum and groin area, violated the functions of related bodies (there are frequent urination, difficulty in defecation), and later develops a white or blue swelling of the lower extremities.
Initially, the tumor may be in ... Read more »
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Diagnosis of cancer in the vagina of clinically apparent cases, no difficulties. During the inspection of the vagina can detect dense hilly formation with infiltration of surrounding tissues, which has the shape of a node, or a bleeding ulcer with thick irregular edges and hard bottom.
Cytological examination of discharge from the tumor site, or an ulcer, a biopsy followed by histological examination of tissue play a crucial role in establishing the diagnosis... Read more »
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The choice of treatment for vaginal cancer depends on the stage, distribution, location of the lesion vaginal involvement in the process of surrounding organs and the general condition of the patient.
Noninvasive cancer vagina (stage 0)
1. Surgical treatment
o electroscission - only with localized forms of cancer with monocentric growth.
o Hysterectomy (removal of uterus)
o vaginectomy (removal of vagi... Read more »
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Prevention of Vaginal Cancer:
The best way to reduce the likelihood of vaginal cancer is the exclusion of known risk factors.
As stated earlier, reducing the likelihood of infection with human papilloma virus, denial of sexual intercourse at a very young age and with many partners, as well as from smoking, will help reduce the risk... Read more »
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