4.5 Review

Updates in the treatment of vaginal cancer

Journal

INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER
Volume 32, Issue 3, Pages 344-351

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/ijgc-2021-002517

Keywords

vaginal fistula; vagina; vulvar and vaginal cancer

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Vaginal cancer, a rare cancer, can benefit from the extrapolated data from cervical cancer. Radiation therapy, particularly external beam and brachytherapy, has significantly improved the treatment outcomes. Individualized treatment is essential for effective brachytherapy. Imaging, especially magnetic resonance imaging, plays a crucial role in the management of vaginal cancer patients, from diagnosis to treatment planning and surveillance.
Vaginal cancer is a rare cancer. A lot of the data used in the treatment of this cancer are extrapolated from cervical cancer data. Radiation therapy plays a significant role in the treatment of vaginal cancer. The advances in radiation therapy in both external beam and brachytherapy have improved local control, survival, and toxicity. Brachytherapy plays an important role in treating vaginal cancer, but treatment should be individualized to each tumor. Imaging, particularly magnetic resonance imaging, plays an essential role in the management of patients with vaginal cancer, from diagnosis to staging to treatment management to surveillance.

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