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Neovaginal cancer after sigmoid vaginoplasty: Implications for postoperative cancer surveillance

Authors :
Wouter B. van der Sluis
Nanne K.H. de Boer
Marlon E. Buncamper
Adriaan A. van Bodegraven
Jurriaan B. Tuynman
Mark-Bram Bouman
Source :
JPRAS Open, Vol 40, Iss , Pp 170-174 (2024)
Publication Year :
2024
Publisher :
Elsevier, 2024.

Abstract

Background: Intestinal vaginoplasty can be performed as vaginal reconstruction procedure. Aa pedicled intestinal segment is isolated and transferred to the (neo)vaginal cavity to form the neovaginal lining. Case: A 38-year old patient with Fanconi anemia and congenital vaginal absence, who underwent sigmoid vaginoplasty at the age of one, visited the outpatient clinic with a palpable neovaginal mass. At MRI examination, a neovaginal tumor was observed of approximately 25 × 10 mm without lymphadenopathy, which turned out to be a mucinous adenocarcinoma (T3N0M0). She underwent excision of the total mesocolon, including the sigmoid neovagina, coloanal anastomosis and anus. Summary and Conclusion: Postoperative cancer surveillance seems justified after sigmoid vaginoplasty, even more so in patients with a (genetically) high risk of developing cancer and/or with a history of malignancy.

Details

Language :
English
ISSN :
23525878
Volume :
40
Issue :
170-174
Database :
Directory of Open Access Journals
Journal :
JPRAS Open
Publication Type :
Academic Journal
Accession number :
edsdoj.19fb2cbb0bd24bed9cd3d647bc724bee
Document Type :
article
Full Text :
https://doi.org/10.1016/j.jpra.2024.03.002