CARCINOMA OF THE VAGINA

  • Accounts for 1% of gynaecologic malignancies. Peak incidence is from age 45 to 65.

Clinical Features

  • There is post-coital bleeding
  • Dyspareunia
  • Watery discharge
  • Urinary frequency or urgency
  • painful defecation.

Cancers are commonly found in the upper part of the vagina on posterior wall. Speculum and digital examination reveals
growth in the vaginal wall.

Investigations

  • Pap smear: Reveals carcinomatous cells
  • Schiller’s test
  • Biopsy

Management

  • Depends on location and extent of the disease
  • A tumour localized in the upper 1/3 of the vagina is treated either by radical hysterectomy with upper vaginectomy and pelvic lymph node dissection or with radium and external radiotherapy
  • Treatment of secondary carcinomas and 10 carcinoma is usually combined and may be either radiotherapy or radical surgery. The 5-year survival rate without recurrence is about 30%.