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Vaginal cancer, signs

In many cases of cancerThe vagina is metastatic, this is due to the fact that the malignant process from the body and cervix passes to the walls of the vagina. The metastatic form of cancer affects mainly the vagina of the lower third in the vault region.

Also, vaginal cancer by its featuresIs divided into exophytic and endophytic forms of development. Exophytic form of development is that on the walls of the vagina, the tumor spreads like papillary growths, which resemble cauliflower. And the endophytic form of growth lies in the fact that from the very beginning the tumor process sprouts into the underlying tissues, which causes a mutation of these tissues.

Classification of vaginal cancer on the basis of:
0 stage - intraepithelial cancer (preinvasive carcinoma);
Stage 1 - an outgrowth with a diameter of up to two centimeters, does not deepen the submucosal layer deeper, metastasis is not detected.
Stage 2 - a tumor with a diameter of more than two centimeters, which does not extend to the pelvic wall, regional metastases are also not determined.
Stage 3 is a tumor of what size with a paravaginal infiltrate that extends to the pelvic wall and has mobile regional metastases.
Stage 4 - any tumor size thatSprouts into the organs located in the neighborhood (the mucous membrane of the bladder, urethra, rectum) and tissue (pelvic bone, perineum) with regional fixed metastases.

Diagnosis and clinic of vaginal cancer. The disease of the vaginal cancer in the early stages remains asymptomatic. As the cancer develops, leucorrhoea, spontaneous vaginal discharge from the vagina. Subsequently, pain in the inguinal areas, sacrum and pubic are added, urination and stooling are impaired, and later develops a blue or white foot effusion.

In clinical cases, the diagnosis of vaginal cancerDoes not cause difficulties. It is found during examination of the vagina by a tuberous dense formation, which has the form of a knot, or an ulcer bleeding with nerve-dense edges and a hard bottom.

Cytological research, that is, a biopsy,When a piece of tissue separates from an ulcer or tumor for examination decides the main role in revealing whether the benign or malignant nature of this tumor.

To clarify whether the process is spreading, namely the presence of mobile regional metastases, and cystoscopy is used to determine the state of neighboring surrounding organs.

In order to exclude the possibility of appearanceMetastatic tumor is performed ultrasound of the pelvic organs, examination of the breast (mammary glands), diagnostic separate scraping of a piece of the mucosa of the walls of the cavity and cervix. Hysteroscopy as directed by a doctor.

Treatment of vaginal cancer. The choice of the method of treatment of vaginal cancer depends on the spread, the stage of development of cancer, the localization or stopping of the vaginal lesion, whether the surrounding organs are involved in the process and, first of all, the general condition of the sick woman.

In the treatment of this disease,Cryodestruction, surgical intervention ie dissection of the infected mucous membrane of the vagina within healthy tissues, therapy with the help of an acid laser. Also at the early stage of cancer, the administration of a 5% fluorouracil ointment is prescribed daily for 14 days.

Radiation therapy remains the main method of treating vaginal oncology, but such a program is made individually for each sick woman.
Cancer of the vagina is divided into two forms: Primary and secondary (metastatic). The primary form of vaginal cancer among all cancers of female genitalia is 1-2%, occurs mainly at any age, but mostly in 50-60 years.
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