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VAGINAL CANCER
Presenter :
Rin Wahyu I
Consultant :
dr. Putu A. Suarta, Sp.OG (K.Onk)
ANATOMI VAGINA
HISTOPATOLOGI
Squamous Cell Carcinoma
Adenocarcinoma
Melanoma Maligna
Sarkoma
Vaginal
Interaepithelial
Neoplasma (VAIN)
Human Papiloma
Virus (HPV
Smoking Tobacco
Age 50-70 y.o
Adenosis vagina
History of
gynaecological
cancer
Diethylstilboestrol
(DES)
Having many sex
partner
Having sex at an
early age
SYMPTOMS
Bloody vaginal discharge not related to your menstrual
period (amenore, hipermenore)
Which may have an offensive or unusual odour
Pain during sexual intercourse
DIAGNOSE
Pelvic and
phcycal
examination
Pap Smear
Blood test
Biopsy &
colposcopy
THREATMENT by stage
Stage 0 (SCC) vaginectomy parcial or total,
therapy laser, and intravaginal chemoterapy.
Stage I (SCC or adenocarcinoma) radical
vaginectomy, radical hysterectomy and removal
limp, or radiasi
Stage II (Radiasi external with kemoterapi
intertitial)
RADIOTERAPY
Radiotherapy is the treatment of
cancer using high-energy x-rays to
kill or destroy cancer cells.
1. External Radioterapy
2. Internal Radioterapy
(brachytherapy)
SURGERY
Stage 1
Stage IVA
(Fistula rectovaginal)
Limfadenoktomi pelvis and radiasi
Reccurence
after
radiation
Surgery exentration
KEMOTERAPI
PROGNOSIS
A study of 193 patients from the M.D.
Anderson Cancer Center in Houston
reported
5-year
disease-specific
survival rates of 85% for 50 patients
with Stage I, disease, 78% for 97
patients with Stage II, and 58% for 46
patients with Stages IIIIVA
PREVENTION
Avoid HPV exposure :
1. Having sex at an early age
2. Having many sex partner
3. Having sex with uncircumcised males
4. condom can lower the HPV infection