Vaginal cancer differential diagnosis: Difference between revisions
Line 115: | Line 115: | ||
*Laproscopic visualization confirms the diagnosis | *Laproscopic visualization confirms the diagnosis | ||
|- | |- | ||
|[[Adenomyosis]] | |[[Adenomyosis]]<ref name="pmid16782099">{{cite journal| author=Parker JD, Leondires M, Sinaii N, Premkumar A, Nieman LK, Stratton P| title=Persistence of dysmenorrhea and nonmenstrual pain after optimal endometriosis surgery may indicate adenomyosis. | journal=Fertil Steril | year= 2006 | volume= 86 | issue= 3 | pages= 711-5 | pmid=16782099 | doi=10.1016/j.fertnstert.2006.01.030 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16782099 }}</ref> | ||
| | | | ||
*[[Abnormal uterine bleeding]] | |||
*[[Dysmenorrhea]] | *[[Dysmenorrhea]] | ||
*Common in women aged 40 and 50 years | |||
*Common in women | |||
| | | | ||
* | * Diffuse uterine enlargement always less than size corresponding to less than 12 weeks of [[gestation]] | ||
| | | | ||
* | *Asymmetric thickening of the [[myometrium]] on [[MRI]] | ||
Revision as of 21:31, 16 January 2019
Vaginal cancer Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Vaginal cancer differential diagnosis On the Web |
American Roentgen Ray Society Images of Vaginal cancer differential diagnosis |
Risk calculators and risk factors for Vaginal cancer differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Syed Musadiq Ali M.B.B.S.[2]
Overview
Vaginal cancer must be differentiated from cervical carcinoma, rectal carcinoma, uterine carcinoma, vaginal lymphoma, vaginal cyst, vaginal node of endometriosis, and uterine fibroids.
Differential diagnosis
For large lesions consider invasion of the vagina by:
Malignant involvement of the vagina from metastatic spread is much more common, and except for isolated reports of metastases from extragenital cancers, the most common cause of metastatic disease is direct local invasion from the female urogenital tract. Therefore some authors state the diagnosis of primary vaginal carcinoma should be diagnosed only if other gynecologic malignancies have been excluded.
Other differential considerations include:
- Vaginal lymphoma
Diseases with similar symptoms (bleeding or vaginal discharge) are the following:
- Vaginal cyst
- Vaginal node of endometriosis
- Uterine fibroids
Clinical Features | Physical Examination | Diagnostic Findings | |
---|---|---|---|
Cervical Carcinoma |
|
|
|
Rectal Carcinoma[1] |
|
|
|
Submucous uterine leiomyomas[2] |
|
|
|
Uterine Carcinoma |
|
|
|
Vaginal Lymphoma |
|
|
|
Endometriosis |
|
|
|
Adenomyosis[1] |
|
|
|
- ↑ 1.0 1.1 Parker JD, Leondires M, Sinaii N, Premkumar A, Nieman LK, Stratton P (2006). "Persistence of dysmenorrhea and nonmenstrual pain after optimal endometriosis surgery may indicate adenomyosis". Fertil Steril. 86 (3): 711–5. doi:10.1016/j.fertnstert.2006.01.030. PMID 16782099.
- ↑ Donnez J, Donnez O, Matule D, Ahrendt HJ, Hudecek R, Zatik J; et al. (2016). "Long-term medical management of uterine fibroids with ulipristal acetate". Fertil Steril. 105 (1): 165–173.e4. doi:10.1016/j.fertnstert.2015.09.032. PMID 26477496.