treatment can be rather difficult as there’s a great recurrence or metastasis
chance if the neoplasm wasn’t removed completely. Recurrent VC is more
difficult to treat. We work in cooperation with some German clinics that have
quite powerful gynecologic-oncological departments carrying out scientific
research, working on therapy methods and implementing new technologies. That allows
to minimize the recurrence risk for the vaginal cancer therapy and make it the
Let’s consider three basic VC
treatment methods: surgery, irradiation therapy and chemotherapy.
That is the most popular method:
some manipulations aimed at the tumor removing are performed. The specialists select
the most sparing method and apply resection as a last resort only.
therapy.Laser is used
to remove the damaged areas. Healthy tissues remain unaffected.
instruments are used to remove the cancer and some neighboring healthy
- Vaginectomy.A part or the entire uterus is
- Hysterectomy.Uterus and uterine cervix removing
surgery. If they are removed through the vagina, the operation is known as
hysterectomy. If the organs are removed through the
abdominal cavity, it is called abdominal hysterectomy. If laporoscopy is
applied (a small cut is made and the tumor is removed by laporoscope) the
operation is called laparoscopic hysterectomy.
- Lymphadenectomy.The lymph nodes are removed and
then studied under the microscope for the cancerous symptoms.
This manipulation is also known as lymphodissection. If cancer is in the
upper vagina the pelvic lymph nodes are removed. If the tumor is in the lower
part the inguinal nodes are removed.
lower large intestine, rectum and bladder are removed. Uterine cervix,
vagina, ovaries and neighboring lymph nodes removal is sometimes
necessary. Special holes (stomas) leading to the collection bags are made
to collect urine and feces. At the patient’s wish, thereparative
the vagina is performed. The parts of healthy tissue (it’s usually gluteal
or hip skin) are placed into the damaged areas.
As a rule, irradiation therapy is
recommended after the surgery. It helps to get rid of single cancerous cells
that may remain after the operation. Adjuvant therapy is also performed and aimed
at the quicker patient’s recovery.
Irradiation therapy (IT) implies
exposure of the tumor area to radiation for eliminating the cancerous cells and
preventing their further growth and expansion. At the same time, healthy cells
are hardly affected. There are two IT types: external and internal. The external
therapy implies that the radiation is directed to the presumed tumor area with
special equipment. As for the internal method, the radiant matter is injected
in the cancerous area or round it through needles, wires or catheters. The
method selection depends on the oncology type and stage.
The tumor growth preventive
medicine is prescribed: it affects and eliminates the cancerous cells or
prevents their division. If the medicine is injected intravenously,
intramuscularly or orally, it gets into blood and can affect the cancerous
cells in the entire organism (total body chemotherapy). This medicine can also
be brought to separate damaged organs for directed action (local chemotherapy).
The chemotherapy method depends on the oncology type and stage. Ointments and
lotions are also used for the vaginal cancer.
Specific therapy methods can be
applied for the differentvaginal cancer stages:
0: The following methods are applied for Stage 0:
or total vaginectomy
irradiation therapy. External method is sometimes used for the lymph
nodes or small tumors radiation exposure.
surgery or vaginectomy. Irradiation therapy is usually prescribed after
or lymphadenectomy usually followed by IT course.
for vaginal adenocarcinoma of Stage 1:
hysterectomy or lymphadenectomy sometimes followed by IT course.
irradiation therapy with the external lymph nodes irradiation method.
of several methods: abdominal surgery and lymphadenectomy or internal
following methods are applied for Stage 2:
and internal IT with the external lymph nodes irradiation.
or pelvic exenteration with the following IT course.
same therapy as for Stage 1.
3: The same therapy as for Stage 1-2. External and internal IT is prescribed
before or after the surgery.
4 A: The same therapy as for Stage 1-3.
4 B: The same therapy as for Stage 1-3. Irradiation therapy is prescribed as
palliative treatment aimed at the symptoms relieving or life quality
improvement. Chemotherapy is introduced.
The treatment includes pelvic exenteration and irradiation therapy.
The page provides general information
on the treatment methods: the program is always selected individually with the consideration
of the disease symptoms and clinical history and the patient’s condition.