Abstract

PRIMARY VAGINAL CARCINOMA AS A SILENT KILLER -A RARE CASE REPORT WITH REVIEW

Amera Anjum and *Arshiya Sultana

Abstract

Primary vaginal carcinoma is a rare condition in gynaecological oncology, as it occurs usually secondary to other malignancies. Usually, diagnosis is delayed in this condition because it goes unnoticed. Here we report a case of primary carcinoma of the vagina in 61-year-old post menopausal woman who presented with complaints of abnormal vaginal bleeding associated with low back pain since one and a half year. On gynaecological examination cervix was not visualized, and a friable growth was felt in anterior vaginal wall cervix flushed with vagina bleeding. The biopsy of the lesion confirmed squamous cell carcinoma of grade III. Hence, patient was referred to oncology hospital where she was advised for radiotherapy. However, patient was reluctant and not willing for the treatment. Hence, patient visited this hospital for the alternative treatment. She was counseled and referred to Kidwai cancer hospital. Further, she was instructed to review periodically for Unani treatment. However, the patient did not review back. Life can be saved if medical practitioners make a point of routinely enquiring about abnormal vaginal discharge, bleeding per vaginum and other associated symptoms after menopause in elderly women which are the hallmarks in clinical diagnosis.

Keywords: Genital carcinoma; Primary vaginal carcinoma; Postmenopausal bleeding; Radiotherapy.