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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.