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Cancer
of the vagina, is a rare kind of cancer in women. In vaginal cancer,
cancer (malignant) cells are found in the tissues of the vagina.
The vagina is the passageway through which fluid passes out of the
body during menstrual periods and through which a woman has babies.
The vagina is also called the "birth canal." The vagina
connects the cervix (the opening of the womb or uterus) and the
vulva (the folds of skin around the opening to the vagina).
There are many different types of cancer of the vagina: squamous
cell cancer (squamous carcinoma), adenocarcinoma, malignant melanomas,
and sarcomas.
About 90% of vaginal cancers are squamous cell carcinomas that begin
in the epithelial lining of the vagina. These kinds of cancers tend
to occur in the upper area of the vagina near the cervix. Vaginal
squamous cell carcinomas do not appear suddenly, they develop over
a period of many years from precancerous changes called vaginal
intraepithelial neoplasia (abbreviated as VAIN). Squamous carcinomas
are usually found in women between the ages of 60 and 80.
About 5% of vaginal cancers are adenocarcinomas. The most common
type of vaginal adenocarcinoma usually develops in women over age
50. Another type called clear cell adenocarcinoma usually occurs
in young women who were exposed to Diethhystilbestrol while they
were in their mother's womb. Diethylstilbestrol is a hormonal drug
that was prescribed between 1940 to 1971 for some women thought
to be at increased risk for miscarriages. Adenocarcinomas are often
found in women between the ages of 12 and 30.
Malignant melanoma is a cancer that develops from pigment-producing
cells called melanocytes. Malignant melanomas are usually found
on sun-exposed areas of the skin but occasionally form on the vagina
or other internal organs. They account for about 2% to 3% of all
vaginal cancers. Malignant melanoma usually affects the lower or
outer portion of the vagina.
About 2% to 3% of vaginal cancers are sarcomas. These cancers form
deep in the wall of the vagina, not on its surface epithelium. There
are several types of vaginal sarcomas. Some of the types are: leiomyosarcomas
and rhabdomyosarcoma. Leiomyosarcomas resemble the involuntary muscle
cells of the vaginal wall. Rhabdomyosarcoma is a childhood cancer,
usually found before the age of 3. This type of cancer has cells
that resemble voluntary muscle cells. Voluntary muscle tissue is
not normally found in the vaginal wall.
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