Abstract
Primary vaginal cancer is rare, constituting only 1%-2% of all female genital tract malignancies and only 10% of all vaginal malignant neoplasms. If vaginal malignancy is found in younger women, it is etiologically linked to the persistence of high-risk HPV infections. We report a case of 39-year-old woman presenting with a large cystic inflamed tumor on the left vaginal wall, which open in the lateral vaginal fornix. The biopsy showed the presence of large leukemic papillary carcinoma of the vagina. Unusually, the vaginal mucosa that covered the tumor was intact. According to the localization this structure, clinical presentation and ultrasound picture, this vaginal tumor mimick cystic tumor of Wolff duct or cyst of Gartner
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