Year 2023 / Volume 115 / Number 6
Letter
Vaginal lesion as first manifestation of colorectal disease

333-334

DOI: 10.17235/reed.2022.9270/2022

Mafalda João, Inês Viegas, Luís Elvas, Ana Teresa Cadime,

Abstract
A 73-year-old woman presented at Gyneacology Consultation with vaginal sensation of a lump. Physical examination revealed a vaginal exophytic lesion with 3 cm located at the right inner lip. The lesion was biopsied and histologic examination revealed infiltration by a mucinous adenocarcinoma. Immunohistochemical study suggested the diagnosis of colorectal aetiology. A subsequent colonoscopy demonstrated an ulcerated circumferential lesion at 8 cm from the anal verge Additional staging examinations revealed pulmonary metastasis and the patient was diagnosed with colorectal cancer stage IV. She was evaluated for chemotherapy and radiotherapy. We present an exceedingly rare case of true vaginal metastasis identified before the diagnosis of colorectal primary lesion
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References
Ng HJ, Aly EH. Vaginal metastases from colorectal cancer. Int J Surg 2013;11:1048-55.
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João M, Viegas I, Elvas L, Cadime A. Vaginal lesion as first manifestation of colorectal disease. 9270/2022


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Publication history

Received: 07/10/2022

Accepted: 10/10/2022

Online First: 20/10/2022

Published: 06/06/2023

Article Online First time: 13 days

Article editing time: 242 days


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