Carcinoma Primario de Vagina
Cancer de Vagina
Carcinoma epidermoide no queratinizante de células grandes y pequeñas en vagina
Cáncer primario de vagina
56 year old female with a history of total hysterectomy for uterine fibroids and bilateral oophorectomy for endometriomas. It comes from severe pelvic pain and bleeding during transvaginal gynecological exam. Abdominal sonographic examination shows a left hydronephrosis grade II without sonographic evidence of urolithiasis. Bladder examination shows the presence of broad-based solid mass, with regular free edges growing to the bladder lumen, measures approx 6.09 X 5.49 X 4.16 cm. Shows slight increase vascular flow Doppler examination with Color Doppler. No calculations were detected. It is diagnosed as intravesical broad-based polyp but the attending physician (gynecologist) believes that due to the immediate history of the patient, is a bladder endometrioma, quite rare entity. We are waiting for a TAC to proceed to step to the patient. The TAC scan showed pelvic mass. Cystoscopic examination which showed inability to penetrate bladder presence of mass pelvic is scanned . Under general anesthesia and the patient bleeds pelvic mass is displayed at a touch indicated, biopsy is performed resulting in the pelvic mass is cancer poorly differentiated squamous quite rare disease entity, about 1-2 % of gynecologic cancers. In 90% of cases is an epidermoid carcinoma.