Vaginal Cancer Flashcards
1
Q
Are primary vaginal cancers common or rare?
A
Very rare
2
Q
What are vaginal tumours most commonly due to?
A
Metastatic spread from cervical, uterine or vulval cancers
3
Q
Of the true primary vaginal cancers, most are what in origin?
A
Squamous
4
Q
Who do primary vaginal cancers typically present in?
A
Older women
Association with previous CIN, pelvic radiotherapy, long term vaginal inflammation
5
Q
What part of the vagina do they typically occur in?
A
Upper third
6
Q
How does it present?
A
Bleeding
7
Q
What is vaginal clear cell adenocarcinoma associated with?
A
Intrauterine exposure to diethylstilboestrol before 18w gestation (DES)
8
Q
How is it treated?
A
Usually radiotherapy
9
Q
What is the prognosis?
A
Poor
58% 5 year survival for squamous vaginal carcinoma
34% for adenocarcinoma
