Carcinoma of vagina associated with uterine prolapse is rare. The following case report is of interest because of successful treatment despite advanced age of patient, extreme degree of prolapse and advanced stage of carcinoma. We describe a case of 80-year-old woman with uterine prolapse for 30 years who developed proliferative growth of 12 x 8 x 8 cm on vagina extending till cervix, making it irreducible. A radical hystero-colpectomy involving removal of parametrium and pelvic lymphadenectomy resulted in complete cure despite advanced age of patient, extreme degree of procidentia and advanced stage of carcinoma. This case illustrates the importance of variations of standardized procedure in such cases with extensive lesions, as well as the good prognosis of vaginal carcinomas developing on decubitous ulcers despite presenting in advanced stage.

Authors: Shipra Sonkusare, Vishwanath, Jayaram Shetty, Somya Harikumar, Pujitha Murthi,Vandana Muralidharan

Key Words: Procidentia; primary vaginal carcinoma; carcinoma