Recurrence of a glassy cell carcinoma of the vagina: An exceptional situation

Cancer radiothérapie : journal de la Société française de radiothérapie oncologique
Y YahiaouiA Mezlini

Abstract

Glassy cell carcinoma is a rare neoplasm that occurs most frequently in the uterine cervix. We describe the second reported case of glassy cell carcinoma arising in the vagina. We present a case of a 24-year-old woman with a history of post-coïtal bleeding associated with menometrorrhagia. Different explorations have concluded in a glassy cell carcinoma arising in the vagina, with clinical staging III according to the International Federation of Obstetrics and Gynecology. The patient received three cycles of neoadjuvant chemotherapy with a good response. Then she had a para-aortic lymphadenectomy and ovarian transposition. Following the surgery, she had radiotherapy. The gynecological examination showed no budding lesion and the biopsy was negative. Six months later, the patient complained of a pelvic pain. The examination revealed a locoregional recurrence. Surgical revision was not possible and the patient was a candidate for a palliative chemotherapy. Although, glassy cell carcinoma runs an aggressive clinical course, an early diagnosis may help in a more effective management and offer a better prognosis.

References

Jan 30, 2004·American Journal of Obstetrics and Gynecology·Michael P Hopkins, George W Morley
Aug 23, 2008·Acta Obstetricia Et Gynecologica Scandinavica·Kaei NasuHisashi Narahara
Feb 8, 2014·Gynecologic Oncology·Camilla GuitarteYi-Chun Lee
May 6, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·A Zolciak-Siwinska, J Jonska-Gmyrek
May 14, 2014·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·A LépinoyS Servagi-Vernat
Nov 22, 2014·Practical Radiation Oncology·Malolan S RajagopalanSushil Beriwal

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