Carcinoma of the vagina is one of the rarest gynecologic tumours. The vagina is the primary site in less than one percent of gynecologic malignancies, but may also be involved with metastatic disease or by direct extension from carcinoma of the cervix or vulva. The commonest histology is squamous cell carcinoma.
9.1 Diagnosis
Classification Criteria
- Squamous
- Adenocarcinoma
- Clear Cell Adenocarcinoma (post DES).
9.2 Staging
Classification Criteria
| Stage I |
The carcinoma is limited to the vaginal wall |
| Stage II |
The carcinoma has involved the subvaginal tissue but tissue has not extended onto the pelvic wall |
| Stage III |
The carcinoma has extended to the pelvic wall |
| Stage IV |
The carcinoma has extended beyond the true pelvis or has involved the mucosa of the bladder or rectum. A bullous edema as such does not permit allotment of a case to Stage IV. |
Staging Diagram
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