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Published on: September 12, 2019
Primary spindle cell sarcoma of the vagina treated with neoadjuvant radiation and pelvic exenteration
Sarah Madhu Temkin1, Mira Hellmann, Yi-Chun Lee
1Department of Obstetrics and Gynecology, SUNY Downstate, Brooklyn, NY 11203, USA. sarah.temkin@gmail.com
Objective:
Malignant neoplasms of the vagina are rare gynecologic tumors. Primary vaginal sarcomas are even more unusual lesions, representing fewer than 2% of malignant vaginal lesions.
Case:
We present a case of a primary vaginal spindle cell sarcoma, treated with neoadjuvant radiation followed by total pelvic exenteration. The patient remains without evidence of disease 2 years after surgery.
Conclusions:
The mainstay of treatment of vaginal sarcomas is surgical. Neoadjuvant radiation treatment may decrease surgical morbidity and lead to long-term cure.
