title: Recto-vaginal septum cystadenocarcinoma: a case report and review of the literature.
abstract: Carcinoma of the recto-vaginal septum is a quite rare location and related to peritoneal and primary ovarian carcinomas. There are only few reports in the literature with a very poor prognosis.
  
  
  
  Here we report the case of a 63 years old woman with past medical history of left oophorectomy presenting with a pelvic pain. The magnetic resonance imaging (MRI) demonstrated a 10 cm mass located in the recto-vaginal septum. A block resection was performed allowing the retrieval of a 10 cm solid tumor of the recto-vaginal septum. Peritoneal biopsies and the right ovary were normal the final diagnosis was cystadenocarcinoma of the recto-vaginal septum. The patient received adjuvant chemotherapy and displays no sign of recurrence 36 months after diagnosis.
  
  
  
  The management of recto-vaginal septum carcinoma with en bloc resection should be performed to avoid peritoneal spread and improve prognosis.
authors.affiliation: Department of Gynecology, Nîmes Hospital, Montpellier-Nîmes University, 4 rue Professeur Robert Debré, 30029, Nimes, France. sophie-warembourg@hotmail.fr.
authors.forename: Sophie
authors.initials: S
authors.lastname: Warembourg
authors.affiliation: Department of Gynecology, Montpellier Hospital, Montpellier-Nîmes University, 371 avenue du Doyen Gaston Giraud, 34090, Montpellier, France.
authors.forename: Mélanie
authors.initials: M
authors.lastname: Cayrac
authors.affiliation: Department of Gynecology, Montpellier Hospital, Montpellier-Nîmes University, 371 avenue du Doyen Gaston Giraud, 34090, Montpellier, France.
authors.forename: Gauthier
authors.initials: G
authors.lastname: Rathat
authors.affiliation: Department of Gynecology, Montpellier Hospital, Montpellier-Nîmes University, 371 avenue du Doyen Gaston Giraud, 34090, Montpellier, France.|Department of Genetic Medicine, Weill Cornell Medical College, New York, NY, USA.
authors.forename: Arash
authors.initials: A
authors.lastname: Rafii
mesh_terms: D000291:Adnexal Diseases / Q000150:complications / Q000209:etiology; D000068258:Bevacizumab / Q000494:pharmacology / Q000627:therapeutic use; D016190:Carboplatin / Q000494:pharmacology / Q000627:therapeutic use; D003536:Cystadenocarcinoma / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology*; D050171:Dyslipidemias / Q000209:etiology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D011379:Prognosis; D014625:Vaginal Neoplasms / Q000503:physiopathology / Q000601:surgery*
chemical_list: D000068258:Bevacizumab; D016190:Carboplatin
keywords: Primary peritoneal carcinoma; Recto-vaginal septum; Serous adenocarcinoma