Vaginal cancer natural history: Difference between revisions
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==Overview== | ==Overview== | ||
Depending on the extent of the tumor at the time of diagnosis, the prognosis of vaginal cancer may vary. However, the prognosis is generally regarded as good. | Depending on the extent of the tumor at the time of diagnosis, the prognosis of vaginal cancer may vary. However, the prognosis is generally regarded as good. | ||
===Natural History=== | |||
* Most [[Tumor|tumors]] are [[adenocarcinoma|adenocarcinomas]], with a small percent being [[squamous cell]] carcinomas. | |||
* The [[cancer]] commonly spreads to the [[liver]], [[pancreas]], [[stomach]] and [[duodenum]]. | |||
=== Complications === | |||
* Abdominal pain and cramping | |||
* [[Bloating]] | |||
* [[Confusion]] | |||
* [[Pancreatitis]] | |||
* Acute [[Cholangitis]] | |||
* [[Fever]] | |||
==Prognosis== | ==Prognosis== | ||
Revision as of 11:19, 23 January 2019
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Depending on the extent of the tumor at the time of diagnosis, the prognosis of vaginal cancer may vary. However, the prognosis is generally regarded as good.
Natural History
- Most tumors are adenocarcinomas, with a small percent being squamous cell carcinomas.
Complications
- Abdominal pain and cramping
- Bloating
- Confusion
- Pancreatitis
- Acute Cholangitis
- Fever
Prognosis
- Patient prognosis depends primarily on the stage of disease, but survival is reduced among those who are older than 60 years, are symptomatic at the time of diagnosis, have lesions of the middle and lower third of the vagina, or have poorly differentiated tumors.
- In addition, the length of vaginal wall involvement has been found to be associated with survival and stage of disease in vaginal Squamous cell cancer(SCC) patients.
- Non–DES-associated adenocarcinomas generally have a worse prognosis than Squamous cell cancer(SCC) tumors, but DES-associated clear cell tumors have a relatively good prognosis.