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Vaginal cancer (Risk factors (Pelvic RT, Inflammation, VIN or…
Vaginal cancer
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Diagnosis
Examination
Pelvic
vaginal masses, blood, discharge
Speculum
Vaginal lesion, bleeding, discharge
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Investigations
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Bedside
Obs (sats, RR, HR, BP, temp)
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History
POH
Gravity/parity, delivery, complications
PMH
Known conditions, surgery
PGH
Known disorders, menses, bleeding,
contraception, STIs, smears
DH
Current meds, allergies
PC/HPC
Bleeding, discomfort, weight loss
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SH
Occupation, smoking, alcohol
Staging (FIGO)
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Stage 4
Mets to bladder, bowel, distant
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Management
Medical
Radiotherapy
Indication: adjunct to surgery, palliative
Chemotherapy
Indication: adjunct to surgery, palliative
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Conservative
Information, advice, support
Regular monitoring
Pathophysiology
Development
Primaries rare, more commonly secondaries (cervical, uterine, vulval)
Types
Squamous cell carcinoma (commonest, older women, HPV)
Vaginal clear cell carcinoma (younger women, DES exposure)
Embryonal rhabodosarcoma (sarcoma botryoides; young girls <3y)
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