Chandana C1, Shreedhar Venkatesh2
ABSTRACT: Primary vaginal adenocarcinoma is a rare malignant gynaecologic disease. A 56 year-old woman with post hysterectomy status presented with vaginal bleeding. She had a proliferative growth in the posterior vaginal wall extending to the recto-vaginal space and lateral pelvic wall. Vaginal growth biopsy revealed papillary adenocarcinoma and was diagnosed as FIGO stage III primary papillary adenocarcinoma of vagina. As most of the adenocarcinoma of vagina is metastatic, the possibility of primary papillary adenocarcinoma of vagina has to be kept in mind. The present case was successfully treated with chemotherapy and radiotherapy, suggesting that chemoradiation may be an option for the treatment of this type of tumor.