A Case of Primary Endometrioid Adenocarcinoma of the Vagina.

Choi, Yoon Young; Lee, Dong Uk; Park, Sung Chul; Park, Yoon Ki; Lee, Du Jin; Lee, Sung Ho

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(6):1353-1358.
Published online June 1, 2006.

A Case of Primary Endometrioid Adenocarcinoma of the Vagina.

Yoon Young Choi, Dong Uk Lee, Sung Chul Park, Yoon Ki Park, Du Jin Lee, Sung Ho Lee

Department of Obstetrics and Gynecology, Yeungnam University School of Medicine, Daegu, Korea. shlee@med.yu.ac.kr

Abstract

Primary cancer of the vagina is very rare, accounting for 1-2% of gynecologic malignancies. Vaginal cancers are composed of primary and metastatic one. Of them, metastatic cancers constitute the majority of vaginal cancers, as 80-90%. Differentiating as type of cancer cell, the squamous cell carcinoma is the most common, as 80-90%, but, the adenocarcinoma is rare, as 9% of primary vaginal cancer. Same as other disease, if there is a symptom, the 5 year-survival rate of the vaginal cancer is 37%, but, if not in early stage, that becomes higher, as 61%. So, the early diagnosis and treatment are very important for patients' prognosis. A woman who had underwent both ovarian cystectomy due to both ovarian endometriomas 2 years ago visit us complaining of vaginal spotting, mild lower abdominal discomfort and pelvic pain for 2 months. She underwent operation at the impression of primary vaginal cancer and was irradiated. We report a case of primary endometrioid adenocarcinoma of the vagina with review of literatures.

Key Words: Primary cancer of the vagina, Adenocarcinoma