title: Metastatic adenocarcinoma of the cervix in a delivery-induced traumatic lower vaginal tear.
abstract: BACKGROUND
  Noncontiguous vaginal metastasis is rare in cervical cancer and is usually reported in the context of traumatic implantation. Traumatic vaginal implantation of cervical carcinoma has been documented in episiotomy, port site, or incision scars.
  
  
  METHODS
  We report the only case in the literature with vaginal metastasis associated with traumatic vaginal tear presenting with concomitant metastasis and the second case in the literature with a concomitant vaginal metastasis. Treatment consisted of organ-sparing chemoradiotherapy. Although the previous literature suggests that nonsurgical management of traumatic implantation metastases is associated with survivals of less than 1 year, there is no confirmed recurrent disease after 1 year of follow-up in our reported case.
  
  
  CONCLUSIONS
  The feasibility and initial favorable outcome with chemoradiation is demonstrated in this rare presentation.
authors.affiliation: Department of Radiation Oncology, Cross Cancer Institute, 11560 University Avenue, Edmonton, Alberta, Canada T6G-1Z2. johnaman@cancerboard.ab.ca
authors.forename: J
authors.initials: J
authors.lastname: Amanie
authors.forename: R G
authors.initials: RG
authors.lastname: Pearcey
authors.forename: L
authors.initials: L
authors.lastname: Honore
authors.forename: R
authors.initials: R
authors.lastname: Sloboda
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000556:secondary*; D000328:Adult; D005260:Female; D006801:Humans; D002583:Uterine Cervical Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D014621:Vagina / Q000293:injuries* / Q000473:pathology; D014625:Vaginal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000556:secondary*