title: Primitive clear cell carcinoma of the vagina treated conservatively.
abstract: BACKGROUND
  Clear cell adenocarcinoma of the vagina is rare tumour that is usually treated aggressively. We report a case of clear cell adenocarcinoma in which conservative treatment using new technology was successfully completed.
  
  
  METHODS
  A 19-year-old woman with a biopsy proven clear cell adenocarcinoma of the vagina was referred to our clinic. There was no history of in utero diethylstilbestrol exposure. Colposcopic examination and pelvic MRI confirmed a superficial vaginal lesion. Fertility-sparing surgery, comprising radical local vaginal excision, laparoscopy, sentinel node mapping, pelvic node dissection, and omentectomy, was planned. A staging surgical procedure including a unilateral sentinel lymph node was negative.
  
  
  CONCLUSIONS
  Conservative surgery can be offered to a young woman presenting with this rare tumour in order to preserve fertility. Sentinel node mapping is an adjunct to the conservative surgery.
authors.affiliation: Department of Gynecologic Oncology, Centre Hospitalier Universitaire de Québec QC.
authors.forename: Marie Claude
authors.initials: MC
authors.lastname: Renaud
authors.forename: Marie
authors.initials: M
authors.lastname: Plante
authors.forename: Jean
authors.initials: J
authors.lastname: Grégoire
authors.forename: Michel
authors.initials: M
authors.lastname: Roy
mesh_terms: D018262:Adenocarcinoma, Clear Cell / Q000601:surgery*; D005260:Female; D005298:Fertility; D006801:Humans; D016896:Treatment Outcome; D014625:Vaginal Neoplasms / Q000601:surgery*; D055815:Young Adult