Obstetrics & Gynecology Email Alerts
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Obstetrics & Gynecology 2002;100:1105-1108
© 2002 by The American College of Obstetricians and Gynecologists
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Steed, H. L.
Right arrow Articles by Honore, L. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Steed, H. L.
Right arrow Articles by Honore, L. H.

CASE REPORTS

Invasive Squamous Cell Carcinoma of the Vagina During Pregnancy

H. L. Steed, MD, R. G. Pearcey, MD, V. Capstick, MD and L. H. Honore, MD

Departments of Obstetrics and Gynecology, Radiation Oncology, and Pathology, University of Alberta, Edmonton, Alberta, Canada

Address reprint requests to: H. L. Steed, MD, Department of Obstetrics and Gynecology, CSC-201, Royal Alexandra Hospital Site, 10240 Kingsway Avenue, Edmonton, AB T5H 3V9, Canada; E-mail: helensteed{at}shaw.ca.

ABSTRACT

BACKGROUND: Squamous cell carcinoma of the vagina in pregnancy is rare.

CASE: A 28-year-old primigravida with antepartum bleeding at 20 weeks’ gestation was diagnosed with squamous cell carcinoma after biopsy of a vaginal mass. The histology revealed an invasive grade 3 squamous cell carcinoma of large-cell, nonkeratinizing type. The patient declined pregnancy termination and immediate radiation treatment. She continued to have episodes of vaginal bleeding and was admitted at 30 weeks’ gestation. A decision was made in consultation with the neonatal unit to deliver her at 32 weeks’ gestation. After corticosteroid treatment, she was delivered by cesarean delivery. Positive pelvic lymph nodes were noted at surgery. Postoperatively, she received external beam radiation and brachytherapy and concurrent cisplatin chemotherapy. She is disease free 3 years from her original diagnosis.

CONCLUSION: This case emphasizes the importance of a thorough pelvic examination to assess the vaginal walls and cervix at the first prenatal visit and with any antepartum bleeding episode.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2002 by the American College of Obstetricians and Gynecologists.