Primary vaginal cancer

Case contributed by Dr Bahman Rasuli

Presentation

Vaginal bleeding.

Patient Data

Age: 30 years
Gender: Female
MRI

Abnormal signal intensity (low on T1 and high on T2FS) infiltrating enhancing mass arising from the lower half segment of the vaginal wall mid to anterior part.

Bilateral metastatic iliac and inguinal lymphadenopathy.

Abnormal bone marrow signal intensity with soft tissue component involving the right ischial tuberosity and inferior pubic ramus.

Urinary bladder invasion.

Uterus and ovaries appear unremarkable.

Case Discussion

Microscopy:

Sections show neoplastic tissue composed of sheets and nests of squamoid tumoral cells with pleomorphic vesicular nuclei and distinct nucleoli. Foci of necrosis and invasion of the stroma are also present. Suspicious vascular invasion is noted as well.

Diagnosis:  Squamous cell carcinoma.  Suspicious vascular invasion

 

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Case information

rID: 71503
Published: 12th Oct 2019
Last edited: 13th Oct 2019
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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