Primitive clear cell carcinoma of the vagina treated conservatively.
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.
Renaud
Marie Claude
MC
Department of Gynecologic Oncology, Centre Hospitalier Universitaire de Québec QC.
Plante
Marie
M
Grégoire
Jean
J
Roy
Michel
M
D018262:Adenocarcinoma, Clear Cell / Q000601:surgery*; D005260:Female; D005298:Fertility; D006801:Humans; D016896:Treatment Outcome; D014625:Vaginal Neoplasms / Q000601:surgery*; D055815:Young Adult