Vaginal cancer clinical manifestations

Seldom see primary vaginal cancer, gynecological cancer accounted for the 1% to 2%. Primary vaginal cancer in the vaginal epithelial cell carcinoma accounting for 75 percent, while the rest is sarcoma, melanoma and carcinoma, and other. Examination and clinical performance Vaginal cancer often occur in vaginal wall after 1 / 3. Most patients complained a small number of irregular bleeding after menopause, odour discharge and pain. Yam clean plastic see-will help us observe the entire vaginal wall. Sometimes needed to deal with the use of iodine solution to help distinguish tumor boundaries. Vaginal triple rectal examination may help shed up there mucosa, adjacent to the vagina or rectum violations involved. Only about 20% of patients with vaginal cancer through Pap smear and pelvic examination diagnosis. In addition to the chest X-ray examination and intravenous pyelography, rectum and sigmoid colon-bladder can be used as a routine examination. CT and MRI can identify with and extraperitoneal peritoneal lesions. MRI also can be identified radiation fibrosis and recurrent tumor lesions. Staging and treatment (1) phased vaginal cancer clinical staging determined by the scope of diseases, treatment and decided to speculate an important basis for survival. FIGO classification are described as follows: 0: epithelial carcinoma or carcinoma in situ. Ⅰ period: tumor confined vaginal wall mucous layer. Phase Ⅱ: tumor-infiltrating vaginal tissue or vaginal wall adjacent tissue, and pelvic not. Ⅲ period: vaginal tumor infiltrating the adjacent tissues, and of pelvic; groin or pelvic lymph node metastasis. Ⅳ period: more than really pelvic tumor proliferation, invasion bladder or rectum, or distant metastasis. (2) in the treatment of vaginal cancer treatment should be based on patient's age, body, in particular, tumor size, location and clinical stage to deal with them. 1) DCIS may use surgery, radiation therapy and the use of 5 - Fu cream therapy, laser therapy, such as CO2. 2) invasive under different clinical stage surgical treatment or the use of radiotherapy. Surgical treatment of Ⅰ ~ Ⅳ patients have a certain value, but is still mainly use radiotherapy.