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Vaginal cancer is a cancer that affects women, most commonly over the age of 60. It is more common in women who have the human papillomavirus (HPV).
The vagina is the organ that connects the lower part of the uterus, known as the cervix, to the vulva. It is also called the birth canal, as a baby passes through it at birth. Flat cells called squamous cells line the vagina. This layer is also called the epithelium.
There are several types of vaginal cancer, which all affect different cells within the vagina:
Women who have HPV or who have been infected with the herpes simplex virus, are at higher risk of developing vaginal cancer. Having cervical cancer also puts you at a greater risk. The risk of vaginal cancer is doubled in women who smoke.
Between 1940 and 1971, women were sometimes given a drug called diethylstilbestrol (DES) while pregnant. The daughters of these women are now known to be at a greater risk of developing clear-cell adenocarcinoma, a cancer of the vagina or cervix.
There are often no symptoms of vaginal cancer, meaning it is advanced by the time a diagnosis is made. Therefore, regular checkups with a gynecologist are strongly recommended. Symptoms of vaginal cancer can include:
Although usually harmless, if you notice any of these symptoms, always talk to your doctor.
Your doctor will first discuss your symptoms and medical history. They will then perform a pelvic exam, and a pap smear and biopsy of the vagina. If abnormal cells are found via the pap smear, your doctor will then perform a colposcopy, during which your cervix and vagina will be examined, and a small tissue sample (biopsy) is taken for investigation.
Treatment will depend on how advanced the cancer is, which type of cells are affected, and a woman's age. If vaginal cancer is affecting a younger woman who hasn't started a family yet, different treatment will be given which can preserve fertility.
Earlier stage cancer can be treated with laser surgery. When caught early, vaginal cancer can often be successfully treated, and survival rates are high.
More advanced vaginal cancer is harder to treat so it is important to report any symptoms to your doctor as soon as you notice them. Treatment may involve surgery, radiation and chemotherapy. A doctor will stage the cancer, to see how advanced it is, and whether it has spread to other organs or the lymph nodes. These stages are called T (tumor), N (nodes), and if it has spread, or metastasized, M.
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This information is provided by Cleveland Clinic Abu Dhabi, part of Mubadala Healthcare, and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.
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