VAGINAL-CANCER AFTER HYSTERECTOMY FOR BENIGN DISEASE - VALUE OF CYTOLOGIC SCREENING

  • 1 January 1984
    • journal article
    • research article
    • Vol. 64  (5) , 699-702
Abstract
Of 87 patients who were treated for primary cancer of the vagina, 31 had undergone total hysterectomy for benign disease. In this group of 31 patients, vaginal bleeding was the most common presenting symptom, although there were 8 patients who were entirely asymptomatic and were diagnosed on routine examination. The stage of cancer was more advanced in the symptomatic patients than in the asymptomatic patients. There were 7 patients with stage 0 disease, and 4 of these were asymptomatic and diagnosed by routine Papanicolaou smear. Overall, Papanicolaou smears were positive in 12 of 19 patients tested, a sensitivity rate of 63%. Patients who have a hysterectomy for benign disease should continue to have Papanicolaou smears taken from the vaginal vault at regular intervals.

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