Vagina Witrak

Question 1

What is adenosis?

Answer 1

Islands of endocervical mucosa…persistence of columnar cells in the upper 1/3 of vagina

Question 2

If a primary vaginal cancer were to occur, what would be a likely association and where would it likely be?

Answer 2

Likely associated with HPV and would be located in the upper 1/3 (Mullerian) portion of the vagina

Question 3

Some cancers can spread to the vagina. What are the most common cancers?

Answer 3

Direct extension of cervical, vulvar, or endometrial

Question 4

Besides direct extension, how else can cancers spread to the vagina?

Answer 4

Hematogenously from breast, ovary, or kidney

Question 5

What symptoms are expected with a malignant cancer to the vagina?

Answer 5

Bleeding

Discharge

Question 6

What potentially metastatic vaginal cancer presents with grape-like clusters filling infants/young girls’ vaginas?

Answer 6

Embryonal rhabdomyosarcoma

Question 7

How is embryonal rhabdomyosarcoma treated?

Answer 7

Chemotherapy and then surgery