title: Vaginal cancer in a patient with complicated prolapse history: a case report.
abstract: BACKGROUND
  In the setting of multiple pelvic floor procedures, vaginal abnormalities are not unusual.
  
  
  METHODS
  We present the case of a 59-year-old woman with voiding dysfunction and inability to have intercourse after multiple pelvic floor procedures who presented with a vaginal mass on bimanual examination, thought to be related to prior procedures with permanent sutures. Imaging was obtained, and the lesions were thought to be suture granuloma. She was taken to the operating room for relaxing incision of her posterior repair and excision of suture granuloma. She was found to have squamous cell carcinoma of the vagina.
  
  
  CONCLUSIONS
  In the differential of any vaginal abnormality, although rare, vaginal cancer should be included in the differential diagnosis.
authors.affiliation: From the *Department of Obstetrics and Gynecology, University of Wisconsin, Madison, WI; and †Department of Urology and Obstetrics and Gynecology, Loyola University, Stritch School of Medicine, Maywood, IL.
authors.forename: Sarah
authors.initials: S
authors.lastname: Leadley
authors.forename: Asheley
authors.initials: A
authors.lastname: Briggs
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: O'Connell
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Brincat
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004414:Dyspareunia / Q000209:etiology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000150:complications; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed; D014555:Urination Disorders / Q000209:etiology; D014625:Vaginal Neoplasms / Q000150:complications / Q000175:diagnosis*