Vishnuvardhan Reddy (V C)

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Vaginal Cancer

Presented by : Vishnuvardhan Redd


Group No : 21-07
What is the vaginal cancer ?

 Vaginal cancer is a rare


malignancy that arises in the
tissues of the vagina. It
accounts for only about 1-2% of
all gynecological cancers. This
cancer can affect women of any
age, but it is more commonly
diagnosed in older women,
typically after the age of 60.
Early detection and treatment
are crucial for improving
prognosis.
Histological Types of Vaginal Cancer

 Vaginal cancer can be classified into several histological types based


on the type of cells that become malignant. The most common
histological types include:
 Squamous Cell Carcinoma (SCC)
 Adenocarcinoma
 Clear Cell Carcinoma
 Sarcoma: This type, including embryonal rhabdomyosarcoma
 Melanoma
 Small Cell Carcinoma
Risk Factors

 Human Papillomavirus (HPV) Infection


 Age
 History of Cervical or Endometrial Cancer
 DES Exposure
 Smoking
 Immune suppression
 Vaginal Douching
TNM Classification of Vaginal
Cancer
 The TNM system is used to describe the extent of cancer spread and
helps in staging the disease. It is based on three key factors:
 T (Tumor): Describes the size and extent of the primary tumor.
 T1: The tumor is confined to the vagina.
 T2: The tumor has spread to the paravaginal tissue but not to the pelvic
wall.
 T3: The tumor has spread to the pelvic wall or the lower urinary tract or
rectum.
 T4: The tumor has spread to adjacent organs, such as the bladder or
rectum.
 N (Nodes): Refers to the regional lymph nodes.
 N0: No regional lymph node involvement.
 N1: Regional lymph nodes are involved.
 M (Metastasis): Indicates whether the cancer has spread to distant
parts of the body.
 M0: No distant metastasis.
 M1: Distant metastasis is present.
Clinical Symptoms of Vaginal
Cancer
 Abnormal Vaginal Bleeding: Postmenopausal bleeding or unusual vaginal
bleeding is the most common symptom.
 Pain During Intercourse: Vaginal cancer may cause pain during sexual
intercourse (dyspareunia).
 Pelvic Pain: Persistent pelvic pain or pressure may be a sign of advanced
cancer.
 Vaginal Discharge: A watery, blood-tinged or foul-smelling discharge is
often reported.
 Urinary or Rectal Symptoms: In advanced stages, vaginal cancer may
cause urinary or bowel symptoms, such as frequency, pain, or difficulty with
urination or defecation, due to the involvement of nearby structures.
 Lymphadenopathy: Swollen lymph nodes in the groin area may occur if
the cancer has spread.
Clinical Diagnosis

 The diagnosis of vaginal cancer is based on a combination of clinical


evaluation, imaging studies, and histopathological examination. Steps
in the diagnostic process include:
 Physical examination
 Colposcopy
 Biopsy
 Imaging
 Cytology
Treatment of Vaginal Cancer

 Treatment depends on the stage, location, and histological type of the


cancer, as well as the patient’s overall health. Main treatment options
include:
 Surgical
 Radiotherapy
 Chemotherapy
 Target therapy
Prevalence and Prognosis

 Vaginal cancer is a relatively rare condition. It is estimated that there


are approximately 5,000-6,000 new cases of vaginal cancer in the
United States annually, which accounts for only 1-2% of all
gynecological cancers. The prognosis for vaginal cancer largely
depends on the stage at diagnosis:
 Early-stage (Stage I) vaginal cancers have a relatively favorable
prognosis with a 5-year survival rate of approximately 80-90%.
 For advanced-stage (Stage III and IV) cancers, the prognosis is poorer,
with lower survival rates.

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