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. 2019 Sep 28;2019(9):omz088.
doi: 10.1093/omcr/omz088. eCollection 2019 Sep.

Primary vaginal adenocarcinoma of intestinal-type: case report of a rare gynaecological tumour

Aloy O Ugwu  1 , Muibat Haruna  2 , Kehinde S Okunade  1 , Ephraim Ohazurike  1 , Rose I Anorlu  1 , Aina A F Banjo  2
Affiliations

Primary vaginal adenocarcinoma of intestinal-type: case report of a rare gynaecological tumour

Aloy O Ugwu et al. Oxf Med Case Reports. .

Abstract

Vaginal cancer is rare and accounts for only 1 to 2% of all gynaecological malignancies. They arise as primary squamous cell cancers or are the result of extension from the cervix or vulva. Primary mucinous vaginal adenocarcinoma of intestinal-type is an extremely rare malignancy of unknown histogenesis with a diagnostic dilemma for the clinician and histopathologist. We presented the case of a 40-year-old Para 0+2 woman with the complaint of a mass in the vagina and recurrent vaginal bleeding who was evaluated and worked-up for examination under anaesthesia and biopsy of the vaginal mass. The histological examination revealed the unusual intestinal-type variant of adenocarcinoma of the vagina. Recognition of this rare entity is important, particularly to avoid the pitfall of misdiagnosing metastatic disease as primary vaginal cancer.

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Figures

Figure 1
Figure 1
Photomicrograph of glands in mucin and necrotic background
Figure 2
Figure 2
Photomicrograph of glands with pseudo-stratification and lining goblet cells.
See this image and copyright information in PMC

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