Tumors of the vulva and vagina

Tumors of the vulva and vagina: 
Fibroma , a benign tumor that develops from the connective tissue of the labia majora , at least from the pelvic fascia and parametrial tissue . 

Fibroids - benign tumor of the muscle fibers of the round ligament , ending in large labia . 

Lipoma or fibrolipoma - benign tumors of fat and connective tissue.Diagnosis. Recognition of benign tumors of the vulva is not difficult. Tumor nodes located on a wide " basis or on a stem, can be significant and are available direct examination. When poor circulation , edema , hemorrhage , necrosis, joins a secondary infection .Treatment of surgery - removal of the tumor .The prognosis is favorable .

 

Gidradenoma - a benign tumor . Develops from the sweat glands is rare. Under the skin or in the thickness of the labia majora are arranged solitary or multiple nodules . There are cases of malignant growth hydradenitis .Operative treatment - removal of the tumor .Prognosis after removal of a benign tumor is favorable. 

Vulvar cancer . Malignant epithelial tumor . Occurs in 1-2 % of cases of genital cancers at other sites . Histologically, vulvar cancer is squamous cell carcinoma with a tendency to keratinization , rarely observed glandular form of cancer . Cancer can be in the form of dense node infiltration cartilaginous consistency, papillary type cauliflower growths , ulcer crater with infiltrative flat base and uneven edges. 

Diffusion stage . Stage I - the tumor up to 2 cm in diameter, localized in the surface layers . Stage II - superficial tumors or larger tumors with infiltration of the underlying tissue with movable metastasis to the inguinal lymph nodes. Phase III - fixed tumor with deep infiltration of the underlying tissues , metastasis to the inguinal lymph nodes. Stage IV - tumor spread to adjacent organs , metastases to distant organs .Pathogenesis. Initially, there is a slight thickening of the tissue , most often in the skin of the labia majora . Nodule begins to grow , sometimes quickly ulcerate . Tumor extends over the surface and depth of tissue often becomes the opposite side . In advanced cases of cancer affects the whole vulva . The last step in the process involves the tumor urethra. Swelling rapidly invades the inguinal lymph nodes , then there are metastases in the iliac and hypogastric nodes and distant organs . Frequent and rapid metastasis of cancer of the vulva caused richly developed lymphatic network of the external genitalia and the presence of lymph broad ties with other pelvic organs . 

Clinic . Tumor often develops during menopause . In rare cases, the sick young woman. Vulvar cancer often occurs against a background of leukoplakia and kraurosis . Sick for a long time complaining of itching, burning then join in the vulva , pain, leukorrhea, spotting, sometimes offensive, with an admixture of pus (disintegration of the tumor, secondary infection ) . Marked weakness, malaise , weight loss , fatigue . If untreated, death occurs rapidly ' from cancer cachexia , urosepsis , pelvic thrombophlebitis or bleeding , especially cancer of the clitoris. 

Fibroids , fibroids , uterine , vaginal lipoma . Rare. Benign tumors have the form of a single node on a broad basis , often coming from the front wall of the vagina. Tumor size can be varied, typically the consistency of thick . When degenerative changes may occur softening tumor.Clinic . Tumors develop in age from 20 to 50 years . Asymptomatic, only when there is a considerable extent , foreign body sensation , sexual intercourse difficult , disturbed urination and defecation . Possible occurrence of malignant tumor growth , decay and fester . 

Hemangioma - a very rare vascular benign tumor having a blue color and soft texture , the cut reminds cavernosum . 

Papilloma - single or multiple benign growths resembling cauliflower.Treatment of surgery - removal of the tumor .The prognosis is favorable .

Vaginal cancer . Malignant tumor of epithelial elements of primary vaginal cancer is 2 % of all malignant tumors of the female genitals . Vaginal cancer occurs as exophytic tumor has the appearance of papilloma or cauliflower , and endophytic form a dense infiltrate rapidly spreading to the underlying tissues . Severe infestation of cancer cells is very characteristic of endophytic vaginal cancer . Further the ulcer with raised edges are dense in E . Microscopically often find flat cell carcinoma , at least - adenocarcinoma .Clinic . Sick more often multiparous women older than 40 years. Symptoms appear relatively late. Patients complain of contact spotting and whites with an admixture of pus ; tumors arise from the decay of bleeding. Pain appear at germination in tumor tissue and to be compression of the nerve trunks. Often localized swelling on the back wall of the vagina , extending to the vaginal part of the cervix and plunges paravaginalnuyu fiber. Lumen narrowing of the vagina , cancer infiltration goes to the rectum (stenosis , fistulas ), and bladder. Metastases occur in the retroperitoneal and iliac and inguinal lymph nodes.Diffusion stage . Stage I - limited tumor diameter of 2 cm Stage II - a large tumor , there is infiltration paravaginalnoy fiber ; inguinal lymph node metastases determined by single moving . Stage III - Tumor extends to a large part of the vagina, infiltrates paravaginalnuyu fiber and goes to the pelvic wall , there are multiple metastases in the inguinal and iliac lymph nodes . Stage IV - tumor invades adjacent organs , there are distant metastases .The prognosis is poor . 

Sarcoma of the vagina. Malignant neoplasm arising from the connective tissue . Microscopically veretenoobraznokletochnoe has rarely cell round structure with areas of necrosis and hemorrhage ; uncommon black cancer .Clinic . Tumor develops in postmenopausal women and girls . Sar coma vagina , observed in children , characterized by a very malignant course and has acinar or polypoid form . It grows fast , filling all the vagina breaks and bleeds easily . Often invades the bladder , urethra and cervix. In adult women sarcoma can develop in different parts of the vagina in the form of nodular or diffuse forms in neighboring organs will not germinate , but quickly arise metastasis to the inguinal and pelvic lymph nodes and distant organs , most commonly in the lungs. Swelling is accompanied by cables or sero - purulent krovyannstogo and urination disorder .