Castaño EMD, Berdeal FE, Alustiza VJI, Garza CA, García AJ

Language: Spanish
References: 11
Page: 42-46
PDF size: 331.90 Kb.

ABSTRACT

Cancer of the vagina is the least common gynecological tumor, representing only a 2%. The most common of these tumors is the squamous type (75-90%), and the least common, the sarcoma (‹ 3%), of them being the leiomyosarcoma the most common. We present a case report of a 40-year-old female who came to the emergency room with abdominal tenderness, constipation, an unquantified weight loss, fecaloid transvaginal discharge and hyperthermia. An IV contrasted CAT scan was performed, showing changes in the peri-rectal fat and free fluid. A laparotomy was done, during which free inflammatory fluid, and a mass that involved rectum and cervix were found. A hysterectomy was done, which included the upper two thirds of the vagina. A transoperative biopsy reported vaginal sarcoma, thus leading to the decision of escalating the procedure to an abdomino-perineal resection. Due to the low incidence and lack of information regarding this rare tumor (less than 150 cases have been reported in the last 50 years), we decided to add this new case to the literature.

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