Surgery, Gastroenterology and Oncology

Vaginal cancer represents a rare malignancy accounting for 2% of all gynecologic malignant tumors. Due to its rarety, there are no prospective trials to guide the treatment. The most commonly used treatment option is radiotherapy. We present the case of a 75 years old female who was addressed to our service for vaginal bleeding. The local exam showed the presence of a large tumor on the posterior vaginal wall and the biopsies revealed squamous cell carcinoma. The patient was refferred to the radiotherapy service but after 5 sequences of external beam therapy associated with chemotherapy (Cisplatin) she developped an episode of severe rectal bleeding so the radiation therapy was cancelled. We perfoemed a total colpectomy with total hysterectomy, bilateral adnexectomy and bilateral pelvic and inguinal lymph node dissection. The histopathological findings confirmed the preoperative results of the biopsies. In the postoperative course the patient developped an episode of severe diarheea and dehidratation due to the irradiation recto-colitis which needed intensive hidroelectrolitic re-equilibration. The patient was discharged the 20th postoperative day. 2 years postoperatively there are no signs of recurrent disease.

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