Laterally Extended Endopelvic Resection for Locally Advanced Vaginal Cancer - A Case Report

Introduction Compartment theory of locoregional spread of gynecologic malignancies proved to be valid not only in patients with cervical cancer but also in patients with vaginal cancer. Therefore, it has been successfully implemented in patients with tumoral recurrences or persistent disease after irradiation for vaginal cancer. Material and method We present the case of a 63-year-old patient, with previous history of vaginal cancer; at that moment she was submitted to radiation therapy. However, when ending the radiation therapy, she was diagnosed with persistent disease, so she was submitted to surgery. Results The patient was submitted to a laterally extended endopelvic resection in association with pelvic and para-aortic lymph node dissection. The postoperative course was uneventful, at two years follow up the patient being free of recurrent disease. Conclusions Laterally extended endopelvic resections offer a good control of the disease in patients with previous history of persistent to radiotherapy vaginal cancer.