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Vaginal Cancer

Primary vaginal cancer comprises what percentage of gynecologic malignancies?

a. 3 percent

b. 7 percent

c. 13 percent

d. 17 percent

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

Used with permission from Dr. Kelley Carrick.

a. Leiomyosarcoma

b. Squamous cell carcinoma

c. Clear cell adenocarcinoma

d. Endometrioid adenocarcinoma

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

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.

a. Columnar

b. Simple cuboidal

c. Transitional cell

d. Stratified squamous

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

a. Lymphatic

b. Exfoliative

c. Hematogenous

d. Transperitoneal invasion

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

a. Only to the internal iliac veins

b. Most often to the external iliac veins

c. Predominantly to the uterine and presacral nodes

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

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

a. 30 to 50 years

b. 40 to 60 years

c. 50 to 70 years

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