title: [Vaginal metastasis revealing an adenocarcinoma of the transverse colon].
abstract: Secondary localization to vagina had a severe prognosis, suggesting a disseminated metatastic disease. We report the case of prevalent vaginal metastasis of adenocarcinoma of the transverse colon. A 65 years old patient has consulted for vaginal mass. After delayed diagnosis, she presented with disseminated metastatic disease with peritoneal carcinomatosis. After neoadjuvant chemotherapy, the following treatment consisted of complete cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy and vaginal adjuvant radiotherapy. No recurrence occurred after one year. Vaginal metastasis of colon cancer are rare. The dark prognosis might justify a systematic gynecological examination of women presenting colorectal neoplasy.
authors.affiliation: Service de gynécologie, obstétrique, reproduction et de médecine fœtale, hôpital Archet II, centre hospitalier universitaire de Nice, 151, route de Saint-Antoine de Ginestière, BP 3079, 06202 Nice cedex 3, France. Electronic address: delphine.quaranta@gmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Quaranta
authors.affiliation: Service de gynécologie, obstétrique, reproduction et de médecine fœtale, hôpital Archet II, centre hospitalier universitaire de Nice, 151, route de Saint-Antoine de Ginestière, BP 3079, 06202 Nice cedex 3, France.
authors.forename: J
authors.initials: J
authors.lastname: Delotte
authors.affiliation: Service de gynécologie, obstétrique, reproduction et de médecine fœtale, hôpital Archet II, centre hospitalier universitaire de Nice, 151, route de Saint-Antoine de Ginestière, BP 3079, 06202 Nice cedex 3, France.
authors.forename: A
authors.initials: A
authors.lastname: Bongain
authors.affiliation: Service de cancérologie digestive, centre Antoine-Lacassagne, 33 avenue de Valombrose, 06189 Nice cedex 2, France; Service de chirurgie, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 2, France.
authors.forename: E
authors.initials: E
authors.lastname: François
authors.affiliation: Service de chirurgie générale et cancérologie digestive, centre hospitalier universitaire de Nice, 151, route de Saint-Antoine-de-Ginestière, BP 3079, 06202 Nice cedex 3, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Bereder
authors.affiliation: Service de chirurgie générale et cancérologie digestive, centre hospitalier universitaire de Nice, 151, route de Saint-Antoine-de-Ginestière, BP 3079, 06202 Nice cedex 3, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Bernard
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary*; D000368:Aged; D000970:Antineoplastic Agents / Q000008:administration & dosage; D044684:Colon, Transverse; D003110:Colonic Neoplasms / Q000473:pathology*; D003131:Combined Modality Therapy; D065426:Cytoreduction Surgical Procedures; D005260:Female; D006801:Humans; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D014625:Vaginal Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery
chemical_list: D000970:Antineoplastic Agents
keywords: Adénocarcinome colique; Chimiothérapie hyperthermie intra-péritonéale; Chimiothérapie néo-adjuvante; Colon adenocarcinoma; Intra-peritoneal hyperthermic chemotherapy; Métastase vaginale; Neo-adjuvante chemotherapy; Vaginal metastasis