Vaginal metastasis presenting as postmenopausal bleeding.

Autor: Ng QJ; Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore., Namuduri RP; Department of Gynaecological Oncology, KK Women's and Children's Hospital, Singapore., Yam KL; Department of Gynaecological Oncology, KK Women's and Children's Hospital, Singapore., Lim-Tan SK; Department of Women's Pathology and Cytology, KK Women's and Children's Hospital, Singapore.
Jazyk: angličtina
Zdroj: Singapore medical journal [Singapore Med J] 2015 Aug; Vol. 56 (8), pp. e134-6.
DOI: 10.11622/smedj.2015127
Abstrakt: Vaginal cancer is rare worldwide and represents 2% of all gynaecological cancers in Singapore. Primary vaginal malignancies are rare and vaginal metastases constitute the majority of vaginal malignancies. Most of these metastases arise from the cervix, endometrium or ovary, although they can also metastasise from distant sites such as the colon, breast and pancreas. We report a rare case of vaginal metastasis in a patient with previous gastric and rectal adenocarcinomas. An 89-year-old woman with a history of gastric and rectal malignancy presented with postmenopausal bleeding. A 2-cm vaginal tumour at the introitus was discovered upon examination. This case demonstrates the importance of performing a gynaecological examination during follow-up for patients with a history of malignancy. The prognosis for vaginal metastasis is poor, as it is often associated with disseminated disease. Depending on the extent of the lesions, radiotherapy or surgery can be considered.
Databáze: MEDLINE