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Review
. 2016 May 3:16:21.
doi: 10.1186/s12905-016-0300-z.

Recto-vaginal septum cystadenocarcinoma: a case report and review of the literature

Sophie Warembourg  1 , Mélanie Cayrac  2 , Gauthier Rathat  2 , Arash Rafii  2   3
Affiliations
Review

Recto-vaginal septum cystadenocarcinoma: a case report and review of the literature

Sophie Warembourg et al. BMC Womens Health. .

Abstract

Background: Carcinoma of the recto-vaginal septum is a quite rare location and related to peritoneal and primary ovarian carcinomas. There are only few reports in the literature with a very poor prognosis.

Case presentation: Here we report the case of a 63 years old woman with past medical history of left oophorectomy presenting with a pelvic pain. The magnetic resonance imaging (MRI) demonstrated a 10 cm mass located in the recto-vaginal septum. A block resection was performed allowing the retrieval of a 10 cm solid tumor of the recto-vaginal septum. Peritoneal biopsies and the right ovary were normal the final diagnosis was cystadenocarcinoma of the recto-vaginal septum. The patient received adjuvant chemotherapy and displays no sign of recurrence 36 months after diagnosis.

Conclusion: The management of recto-vaginal septum carcinoma with en bloc resection should be performed to avoid peritoneal spread and improve prognosis.

Keywords: Primary peritoneal carcinoma; Recto-vaginal septum; Serous adenocarcinoma.

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Figures

Fig. 1
Fig. 1
Sagittal T2 weighted pelvic MRI images
Fig. 2
Fig. 2
Sagittal T2 weighted pelvic MRI images
Fig. 3
Fig. 3
Per-operative view of tumor located on recto-vaginal septum. a Uterus. b Recto-vaginal septum including the tumor mass
Fig. 4
Fig. 4
« en-bloc » resection. a Uterus. b Rectum. c Tumoral mass. d Right ovary
Fig. 5
Fig. 5
Recto-vaginal septum tumor
See this image and copyright information in PMC

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