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Neovaginal cancer after sigmoid vaginoplasty: Implications for postoperative cancer surveillance
- 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