title: Management of a case of primary vaginal cancer with irreducible massive uterine prolapse--a case report.
abstract: Primary cancer of the vagina constitutes 1-2% of all malignant genital tract tumors in women. As one of the most complicated therapeutic problems in gynecological oncology, this disease had been deemed to be untreatable until the end of 1930s. Presently, as a result of technological improvements in radiotherapy and radical surgery, more favorable prognoses are known to be achieved even in advanced cases. In the present case, a woman with vaginal cancer and Stage IV massive uterovaginal prolapsus, which could not be repositioned under general anesthesia, was repositioned by surgical intervention prior to radiotherapy to avoid any potential vesicovaginal fistula formation. The cervix was bilaterally suspended to the pectineal ligaments by polypropylene mesh.
authors.affiliation: Department of Gynecological Oncology, Zeynep Kamil Women's and Children's Health and Education and Research Hospital, Istanbul, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Karateke
authors.forename: S
authors.initials: S
authors.lastname: Tugrul
authors.forename: Y
authors.initials: Y
authors.lastname: Yakut
authors.forename: A
authors.initials: A
authors.lastname: Gürbüz
authors.forename: C
authors.initials: C
authors.lastname: Cam
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000532:radiotherapy*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D009367:Neoplasm Staging; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000150:complications / Q000532:radiotherapy*; D014719:Vesicovaginal Fistula / Q000517:prevention & control*