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Published on: April 14, 2026
Vaginal carcinoma in a completely prolapsed uterus. A case report
C Iavazzo1, G Vorgias, G Vecchini
1Department of Gynecology, METAXA Memorial Cancer Hospital, Piraeus, Greece. christosiavazzo@hotmail.com
Background:
The development of genuine vaginal carcinoma onto a completely prolapsed uterus is a very rare condition to deal with.
Case:
We report here the clinical characteristics of a patient with vaginal carcinoma associated with a third-degree prolapsed uterus. The 80-year-old patient was admitted with a completely prolapsed uterus. The cervix was clinically normal but on the nearby prolapsed vaginal wall a large exophytical hard lesion had been developed. Biopsy of the lesion revealed squamous carcinoma.
Treatment:
The treatment performed was radical vaginal hysterectomy and excision of the upper two-thirds of the vagina without pelvic lymphadenectomy, followed by external beam irradiation. The patient is alive, with no signs of the disease 3.5 years after surgery.
Conclusion:
Surgical and radiotherapeutic treatments can be effectively combined in patients with vaginal carcinoma and complete genital prolapse, in order to improve survival benefits and reduce morbidity.
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