Vaginal cancer is an uncommon disease in which cancer cells grow in the vaginal lining. The vagina is a tube that connects the vulva (external female genitals) to the cervix (lower end of the uterus).
There are several types of vaginal cancer:
Female Reproductive Organs
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Cancer occurs when cells in the body divide without control or order. Normally, cells divide in a regulated manner. If cells keep dividing uncontrollably when new cells are not needed, a mass of tissue forms, called a growth or tumor. The term cancer refers to malignant growths. These growths can invade nearby tissues. Cancer that has invaded nearby tissues can then spread to other parts of the body.
It is not clear exactly what causes these problems in the cells, but is probably a combination of genetics and environment.
Vaginal cancer is more common in women after age 60 years of age. Other factors that may increase your chance of vaginal cancer include:
Vaginal cancer may cause:
Your doctor will ask about your symptoms and medical history. A physical and pelvic exam will be done.
Your bodily fluids and tissue may be tested. This can be done with:
Imaging tests may include:
The physical exam combined with all of your test results, will help to determine the stage of cancer you have. Staging is used to guide your treatment plan. Like other cancers, vaginal cancer is staged from I-IV. Stage I is a very localized cancer, while stage IV indicates a spread to other parts of the body.
Treatments for vaginal cancer depend on the stage of the cancer. Talk with your doctor about the best treatment plan for you. Treatment options include:
Radiation therapy is the use of high-dose radiation to kill cancer cells and shrink tumors. Radiation is usually directed at the tumor from a source outside the body. In some cases, radioactive material may be temporarily placed near the tumor to expose the cancerous cells to a constant level of radiation. This is called an implant and may require a short hospital stay. Other radiation treatments can be done on an outpatient basis.
This involves the surgical removal of a cancerous tumor and nearby tissues, and possibly lymph nodes. Depending on how far the cancer has spread outside the vagina, the doctor may remove the vagina, cervix, uterus, and sometimes the bladder, rectum, and parts of the colon.
Chemotherapy is the use of drugs to kill cancer cells. This treatment may be given as a topical cream, pill, or intravenous injection. Except for topical creams, in which the drug is applied directly on the walls of the vagina, chemotherapy drugs enter the bloodstream and travel through the body killing mostly cancer cells, but also some healthy cells.
While a Pap smear is an effective screening tool for cervical cancer, it cannot be relied upon to detect vaginal cancer. To help reduce your chance of vaginal cancer:
American Cancer Society
National Cancer Institute
Canadian Cancer Society
Women's Health Matters
Andrassy, RJ, Wiener, ES, et al. Progress in the surgical management of vaginal rhabdomyosarcoma: A 25-year review from the Intergroup Rhabdomyosarcoma Study Group. J Pediatr Surg. 1999; 34:731-734.
DeMatos, P, Tyler, D, et al. Mucosal melanoma of the female genitalia: A clinicopathologic study of forty-three cases at Duke University Medical Center. Surgery. 1998; 124:38-48.
Frank SJ, Jhingran A, et al. Definitive radiation therapy for squamous cell carcinoma of the vagina. Int J Radiat Oncol Biol Phys. 2005;62:138-147.
Pandey , Mathew A, et al. Primary malignant melanoma of the mucous membranes. Eur J Surg Oncol. 1998;24(4):303-307.
Squamous cell carcinoma of vagina. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 26, 2014. Accessed November 26, 2014.
Vaginal cancer. American Cancer Society website. Available at: http://www.cancer.org/acs/groups/cid/documents/webcontent/003146-pdf.pdf. Accessed November 26, 2014.
Vaginal cancer. National Cancer Institute website. Available at: http://www.cancer.gov/cancertopics/types/vaginal. Accessed November 26, 2014.
Last reviewed December 2014 by Mohei Abouzied, MD, FACP
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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