[Extensive vaginal carcinoma with total prolapse--a therapeutic problem]

We report on a patient with a total prolapse of the uterus and extensive local vaginal carcinoma. The different therapeutic possibilities are discussed with reference to the case in hand. The primary therapeutic considerations encompass surgery, radiotherapy or chemotherapy. Surgery is preferred in early cases especially when the tumor is located high in the vagina. Due to early invasion of bladder or rectum and particularly in older patients primary radiotherapy is very common. In this case radiotherapy and not surgery was performed in spite of total uterine prolapse, thus achieving a NED-stage of tumor together with retraction of the prolapse.