| Adenocarcinoma arising in a rectovaginal fistula in Crohn disease. | |
| | |
MedLine Citation:
|
PMID: 20736780 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Adenocarcinomas occurring in the vagina are rare. Their correct classification may be very challenging to both the gynecologist and the pathologist, but it is essential for appropriate therapy. Although most adenocarcinomas in the vagina arise from other sites in the female genital tract, a significant minority reflects metastasis from a colorectal site. We report a very unusual occurrence of an adenocarcinoma that presented as a mass in the vagina protruding through the introitus. It arose in a rectovaginal fistula consequent to chronic Crohn disease, but it did not extend to involve the colonic mucosa. Neither the initial clinical examination nor the pathologic examination suggested the correct diagnosis. We report this case to remind the gynecologists of the potential complications of Crohn disease, and to highlight for the pathologists the difficulty that is often encountered in the correct identification of the source of carcinomas that are found in the vagina. |
| | |
Authors:
|
Mary Chu; Henry Crist; Richard J Zaino |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists Volume: 29 ISSN: 1538-7151 ISO Abbreviation: Int. J. Gynecol. Pathol. Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-08-25 Completed Date: 2010-12-10 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8214845 Medline TA: Int J Gynecol Pathol Country: United States |
Other Details:
|
Languages: eng Pagination: 497-500 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, M.S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adenocarcinoma
/
complications,
secondary* Adult Colorectal Neoplasms / complications, pathology* Crohn Disease / complications*, pathology Female Humans Rectovaginal Fistula / complications*, pathology Vaginal Neoplasms / complications, secondary* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Tubulo-squamous polyp of the vagina with sebaceous glands: novel features in an uncommon recently de...
Next Document: Myoepithelial carcinoma of the vulva mimicking bartholin gland abscess in a pregnant woman: case rep...