title: [Total pelvic exenteration in vaginal cancer--case report].
abstract: Vaginal cancer is a rare neoplasm and in about 65% to 90% of cases it is a metastatic one. It is diagnosed in women aged from 60 to 70 years, but it can also appear in younger patients. Squamous cell carcinoma is the most frequently found histopathological type. Risk factors for the development of vaginal cancer are thought to be similar to those of cervical cancer. We present a case of a 52-year old woman with vaginal cancer treated with brachytherapy. Due to neoplasm recurrence, additional examinations were performed in the course of one year. The patient was qualified for total pelvic exenteration. A leakage from the abdominal wound was observed post operatively. It was successfully noninvasively treated. In 3 months time she was hospitalized because of the superficial abdominal abscess which was located next to the left ureterostomy. The patient undergoes regular gynecological, surgical and urological control examinations. So far the results do not show any recurrence of the neoplastic process. Total pelvic exenteration should be considered in selected groups of patients.
authors.affiliation: Katedra i Oddział Kliniczny Ginekologii, Połoznictwa i Ginekologii Onkologicznej w Bytomiu, Slaski Uniwersytet Medyczny, Polska. klingin1@interia.pl
authors.forename: Anita
authors.initials: A
authors.lastname: Olejek
authors.forename: Jerzy
authors.initials: J
authors.lastname: Arendt
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Olszak-Wasik
authors.forename: Dariusz
authors.initials: D
authors.lastname: Waniczek
authors.forename: Jacek
authors.initials: J
authors.lastname: Zamłyński
authors.forename: Stanisław
authors.initials: S
authors.lastname: Horák
authors.forename: Leszek
authors.initials: L
authors.lastname: Nowak
authors.forename: Iwona
authors.initials: I
authors.lastname: Kozak-Darmas
mesh_terms: D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D010385:Pelvic Exenteration / Q000379:methods*; D016896:Treatment Outcome; D014625:Vaginal Neoplasms / Q000473:pathology / Q000601:surgery*