Article

Primary invasive carcinoma of the vagina after Le Fort partial colpocleisis for stage IV pelvic organ prolapse: a case report.

Department of Obstetrics and Gynecology, Chonnam National University Medical School, 8 Hakdong, Dongku, Gwangju 501-746, South Korea.
International Urogynecology Journal (impact factor: 1.83). 05/2011; 22(11):1459-61. DOI:10.1007/s00192-011-1439-7 pp.1459-61
Source: PubMed

ABSTRACT We present here the case report of a postmenopausal woman who complained of recurrent pus-like vaginal discharge and perianal pain 1 year after Le Fort colpocleisis, which was subsequently identified as a primary invasive carcinoma of the vagina. Biopsy confirmed a squamous cell carcinoma in the vagina, and the disease was classified as stage III according to FIGO staging. The patient received pelvic radiotherapy. This case emphasizes that differential diagnosis of recurrent vaginal discharge that presents remote from obliterative procedure for pelvic organ prolapse should consider not only pyometra, but also other causes.

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Keywords

Biopsy
 
case emphasizes
 
case report
 
causes
 
differential diagnosis
 
perianal pain 1 year
 
primary invasive carcinoma
 
recurrent pus-like vaginal discharge
 
recurrent vaginal discharge
 
squamous cell carcinoma
 

Moon Kyoung Cho