Abstract
Primary vaginal squamous cell carcinoma (SCC) is one of the rarest kinds of cancer in gynecological cancer. We report a 40-year-old presented with abdominal pain in her right lower quadrant with past-medical history of vaginal cuff SCC without any metastasis about 2.5 years ago which was treated with a combination of surgery and radiotherapy. Ultrasonography and abdomino–pelvic CT scan suggested an inflammatory phlegmon in RLQ probably due to a complicated appendicitis or malignancy. Ultrasonography-guided biopsy was performed which showed a poor differentiated SCC. Chest and abdominopelvic CTs showed no metastasis. Patients underwent laparotomy and ileocecal resection then end-to-end anastomosis was performed. A study of specimens showed a non-keratinizing SCC.
Highlights
Primary vaginal carcinoma is one of uncommon cancers in gynecological field which represented about 1–3% of all these malignancies
The aim of this study is to present a rare case of ileocecal metastasis of vaginal cuff squamous cell carcinoma (SCC)
Case Presentation A 40-year-old woman gravida 2, para 2 was referred to our clinic with the main complaint of right lower quadrant (RLQ) pain lasting for about three months without any change in bowel habits
Summary
Primary vaginal carcinoma is one of uncommon cancers in gynecological field which represented about 1–3% of all these malignancies. Case Presentation A 40-year-old woman gravida 2, para 2 was referred to our clinic with the main complaint of right lower quadrant (RLQ) pain lasting for about three months without any change in bowel habits. She had a past-medical history of cervical cancer which her medical documents revealed. Months ago, and 15 months later she was referred with a vaginal cuff mass which was vaginal cuff high grade non-keratinizing SCC without any distant metastasis She underwent a subtotal vaginectomy, lymph node dissection, and bilateral salpingooophorectomy. Microscopic evaluation of the biopsies revealed high grade SCC in mesenterium involving ileum wall extending to mucosa, all resected lymph nodes and appendix were free. The patient was discharged from the hospital 10 days after surgery
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