title: Primary invasive carcinoma of the vagina after Le Fort partial colpocleisis for stage IV pelvic organ prolapse: a case report.
abstract: We present here the case report of a postmenopausal woman who complained of recurrent pus-like vaginal discharge and perianal pain 1 year after Le Fort colpocleisis, which was subsequently identified as a primary invasive carcinoma of the vagina. Biopsy confirmed a squamous cell carcinoma in the vagina, and the disease was classified as stage III according to FIGO staging. The patient received pelvic radiotherapy. This case emphasizes that differential diagnosis of recurrent vaginal discharge that presents remote from obliterative procedure for pelvic organ prolapse should consider not only pyometra, but also other causes.
authors.affiliation: Department of Obstetrics and Gynecology, Chonnam National University Medical School, 8 Hakdong, Dongku, Gwangju 501-746, South Korea.
authors.forename: Moon Kyoung
authors.initials: MK
authors.lastname: Cho
authors.forename: Chul Hong
authors.initials: CH
authors.lastname: Kim
authors.forename: Yoon Ha
authors.initials: YH
authors.lastname: Kim
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000175:diagnosis* / Q000532:radiotherapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000601:surgery; D055112:Pyometra / Q000175:diagnosis*; D014621:Vagina / Q000601:surgery; D019522:Vaginal Discharge / Q000209:etiology*; D014625:Vaginal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000532:radiotherapy