Vaginal Cancer Flashcards

1
Q

Are primary vaginal cancers common or rare?

A

Very rare

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2
Q

What are vaginal tumours most commonly due to?

A

Metastatic spread from cervical, uterine or vulval cancers

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3
Q

Of the true primary vaginal cancers, most are what in origin?

A

Squamous

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4
Q

Who do primary vaginal cancers typically present in?

A

Older women

Association with previous CIN, pelvic radiotherapy, long term vaginal inflammation

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5
Q

What part of the vagina do they typically occur in?

A

Upper third

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6
Q

How does it present?

A

Bleeding

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7
Q

What is vaginal clear cell adenocarcinoma associated with?

A

Intrauterine exposure to diethylstilboestrol before 18w gestation (DES)

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8
Q

How is it treated?

A

Usually radiotherapy

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9
Q

What is the prognosis?

A

Poor
58% 5 year survival for squamous vaginal carcinoma
34% for adenocarcinoma

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