Abstract
Primary carcinoma of vagina accounts for less than 2% of all gynecological malignancies. We report a rare case of primary invasive carcinoma of vagina with a third degree uterovaginal prolapse which is even rarer. Mrs X a 60-year-old postmenopausal P5 L4 lady reported to us with complaints of something coming out per vaginum for the past 10 years along with blood stained discharge and difficulty in micturition for the last 4 months. On examination there was third degree cervical descent with a grade three cystocoele and rectocoele. A 4 x 5 cm ulcer was present on middle third of right lateral vaginal wall with marked edema and induration of surrounding tissue. The prolapse was irreducible; was reduced under intravenous sedation with difficulty. On per vaginam examination uterus was normal in size there was no adnexal mass right paracolpium was involved up to lateral pelvic wall and left paracolpium was free. Rectal mucosa was free on per rectal examination (FIGO Stage III). Cervical smear was normal. Biopsy of the ulcer revealed invasive keratinising squamous cell carcinoma of vagina. Chest X-ray was normal. (excerpt)
Published Version
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