Pathology of vaginal cancers in Port Harcourt, Nigeria. A 14-year study of 15 cases

Autor: Seleye-Fubara, D, Uzoigwe, S, Akani, C I
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: Nigerian Journal of Clinical Practice; Vol 10, No 4 (2007); 330-334
ISSN: 1119-3077
Popis: Background: Primary malignancies of the vagina are rare as most are metastatic lesions. This study documents a 14-year experience in a tertiary institution in South Southern, Nigeria. Design and Setting: A retrospective study of clinical presentations including anatomic sites and histopathologic diagnosis of cancers of the vagina in the University of Port Harcourt Teaching Hospital (UPTH). Methodology: The tissues received for histologic diagnosis were fixed in 10% formal saline, processed and embedded in paraffin wax. Microtome sections of the tissue (3 5 microns) were taken and mounted on glass slides and stained with hematoxylin and eosin (H & E) stains. Cases in which both the slide and blocks could not be traced were excluded from the study. Results: A total of 2389 malignancies were diagnosed during the period under review of which 344 were gynaecological. Fifteen cases of vaginal cancers satisfied the criteria for the study, constituting 0.63% and 4.36% of the total and gynaecological malignancies respectively. Five cases (33.33%) occurred in children below the age of 20 years, while 10 cases (66.67%) were in adults. The peak incidence was in the group 0 9 and 60-69 years. Irregular vaginal bleeding was the commonest clinical presentation and the upper posterior vaginal wall was the commonest anatomic site. The most frequent histological type was the non-keratinizing squamous cell carcinoma while FIGO stage 111 (46.67%) cancer was the commonest stage at presentation. Conclusion: Vaginal cancers are rare in this environment but they contribute to high morbidity and mortality among women of all ages as the disease is diagnosed at an advanced stage. Keywords: Vaginal cancers; Southern Nigeria; squamous cell carcinoma; vaginal bleeding.Nigerian Journal of Clinical Practice Vol. 10 (4) 2007 pp. 330-334
Databáze: OpenAIRE