Vaginal cancer (patient information)
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What is vaginal cancer?
The vagina also called birth canal goes from the cervix to open up at the vulva. It is a 3 to 4 inch tube. Vaginal cancer is a rare type of cancer. It doesn't have any early symptoms. With the development of the cancer, frequent symptoms abnormal vaginal bleeding, abnormal vaginal discharge, a mass that can be felt and pain during intercourse. A Pap test is a simple and valuable test to find abnormal cells that may be cancer. Usual treatments include surgery, radiation and chemotherapy.
How do I know if I have vaginal cancer and what are the symptoms of vaginal cancer?
Early vaginal cancer does not have any symptoms. As the tumor grows larger, people may notice one or more of the following symptoms:
- Abnormal vaginal bleeding, often after intercourse
- Abnormal vaginal discharge
- A mass that can be felt
- Pain during intercourse
Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that the problems can be diagnosed and treated as early as possible.
Who is at risk for vaginal cancer?
Clinical data has suggested that the development of vaginal cancer is related to several factors.
- Vaginal adenosis: Clinical research suggest that having adenosis increases the risk of developing clear cell carcinoma. Although it is very small, many doctors feel that any woman with adenosis should have very careful screening and follow-up.
- Cervical cancer: Surveies show having cervical cancer increases the risk of vaginal squamous cell cancer. This is most likely because cervical and vaginal cancers have similar risk factors.
- Diethylstilbestrol (DES): Clinical data show women whose mothers took Diethylstilbestrol (DES) develop clear-cell adenocarcinoma of the vagina more often than would normally be expected. These women are called "DES daughters".
- Human papillomavirus (HPV) infection: Certain types of HPV (type 16 and 18) have been strongly associated with vaginal cancers.
- HIV infection: Clinical studies show human immunodeficiency virus (HIV) also increases the risk of vaginal cancer.
- Unhealthy lifestyle: Epidemiological research demonstrates smoking and alcohol increase th erisk of vaginal cancer.
- Age: Vaginal cancer is always found in women above 70 years old.
How to know you have vaginal cancer?
- Colposcopy and biopsy: In this procedure, the doctor will use the colposcope to examine the cervix and vagina in order to see the vaginal walls and the surface of the cervix closely and clearly. If an abnormal area is seen on the cervix, a biopsy will be done.
- Computed tomography (CT) scan: CT scans are often used to diagnose vaginal cancer. It can confirm the location of the cancer and show the organs near the vagina, as well as lymph nodes and distant organs where the cancer might have spread. These are helpful for determining the stage of the cancer and in determining whether surgery is a good treatment option.
- Magnetic resonance imaging (MRI): An MRI uses magnetic fields but it is a different type of image than what is produced by computed tomography (CT) and produces detailed images of the body. Like computed tomography (CT), a contrast agent may be injected into a patient’s vein to create a better picture.
- Positron emission tomography (PET) scan: When doing this test, a small amount of a radioactive medium is injected into your body and absorbed by the organs or tissues. This radioactive substance gives off energy which in turn is used to produce the images. PET can provide more helpful information than either CT or MRI scans. It is useful to see if the cancer has spread to the lymph nodes and it is also useful for your doctor to locate where the cancer has spread.
- Chest X-ray: This plain x-ray of your chest may be done to see if the cancer has spread to your lungs.
- Whole Bone Scan: The goal of a whole body bone scan is to show if a cancer has metastasized to your bones.
When to seek urgent medical care?
Call your health care provider if symptoms of vaginal cancer develop. If you experience either of the following symptoms, seeking urgent medical care as soon as possible:
- Large vaginal bleeding
Treatment options
Diseases with similar symptoms
Where to find medical care for vaginal cancer?
Directions to Hospitals Treating vaginal cancer
Prevention of vaginal cancer
What to expect (Outook/Prognosis)?
Copyleft Sources
http://www.nlm.nih.gov/medlineplus/vaginalcancer.html