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Vaginal Cancer

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Primary vaginal cancer comprises what percentage of gynecologic malignancies?

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a. 3 percent

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b. 7 percent

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c. 13 percent

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d. 17 percent

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Shown here, most primary vaginal cancers are what histologic type?

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Used with permission from Dr. Kelley Carrick.

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a. Leiomyosarcoma

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b. Squamous cell carcinoma

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c. Clear cell adenocarcinoma

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d. Endometrioid adenocarcinoma

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The caudal ends of the fused müllerian ducts (shown here) form the proximal vagina and are originally lined by which of the following epithelia?

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Reproduced with permission from Shatzkes DR, Haller JO, Velcek FT: Imaging of uterovaginal anomalies in the pediatric patient. Urol Radiol 1991;13(1):58–66.

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a. Columnar

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b. Simple cuboidal

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c. Transitional cell

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d. Stratified squamous

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Which of the following is a common mechanism of primary vaginal cancer spread?

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a. Lymphatic

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b. Exfoliative

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c. Hematogenous

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d. Transperitoneal invasion

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Lymphatic drainage of the proximal vagina is described best by which of the following?

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a. Only to the internal iliac veins

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b. Most often to the external iliac veins

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c. Predominantly to the uterine and presacral nodes

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d. Highly variable with unpredictable drainage to the pelvic, inguinal, and perirectal lymphatics

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The incidence of vaginal cancer peaks within which of the following age groups?

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a. 30 to 50 years

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b. 40 to 60 years

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c. 50 to 70 years

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