Carcinoma primario de vagina

SUMMARY The primary carcinoma of the vagina is an uncommon tumor. It represents 1-2% of all gynecological malignancies. Among these, squamous cell carcinoma is the most frequent one, comprising 85%. The most frequent site of the tumor is in the upper third and in the posterior wall of the vagina. The diagnosis is realized by physical exploration and biopsy of the suspicious lesion, being the vaginal citology a very useful method for an early diagnosis. The cause is unknown, although it is possibly influenced by the same risk factors than the carcinoma of the cervix. The prognosis has improved in the last years, finding radiotherapy as one of the most common processes used, but not the only one, since surgery also has an important place, overall, in initial estadies and in sexually active women. In the following parragraph, it is presented a clinic case about a 76-year-old woman who came to our consult due to a vaginal hemorragy of two months of evolution. This patient was diagnosed of a primary squamous cell carcinoma of the vagina set in the anterior wall of the lower third of the vagina. She was treated by radiotherapy (58 Gy).