title: Primary mucinous adenocarcinoma of the vagina.
abstract: OBJECTIVE
  Our goal was to report the management and symptoms of a patient who presented with primary mucinous adenocarcinoma of the vagina with an unusual histologic pattern.
  
  
  METHODS
  Our methods included a retrospective description of the management, a review of the literature, and critical evaluation of the treatment modalities available for this very uncommon tumor.
  
  
  RESULTS
  Initially posterior partial vaginectomy and abdominoperineal resection was performed with the creation of a permanent colostomy. A bilateral inguinal lymphadenopathy was performed 6 months later on the basis of a palpable enlarged lymph node. Radiotherapy was instituted thereafter. The patient remains disease-free 48 months after initial surgery and is satisfied with her quality of life.
  
  
  CONCLUSIONS
  Primary mucinous adenocarcinoma of the vagina is a very rare tumor. Therefore individualized treatment is justified until larger series have been published.
authors.affiliation: Department of Obstetrics and Gynaecology, Johannesburg Hospital, University of the Witwatersrand Medical School, 7 York Road, Parktown, Johannesburg, 2193, South Africa.
authors.forename: S
authors.initials: S
authors.lastname: Ebrahim
authors.forename: A
authors.initials: A
authors.lastname: Daponte
authors.forename: T H
authors.initials: TH
authors.lastname: Smith
authors.forename: A
authors.initials: A
authors.lastname: Tiltman
authors.forename: F
authors.initials: F
authors.lastname: Guidozzi
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D014625:Vaginal Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery