Acquired Abnormalities

Rhabdomyosarcoma of the vagina or sarcoma bot-ryoides has the typical presentation of a lobulated, grapelike mass protruding from the introitus, and occurs only rarely in girls over the age of 8 years [10]. The mass is irritating and there is a bloody discharge present. The tumor begins in the subepithelial layer and can expand rapidly and be multicentric. In the past, these tumors have been treated with radical pelvic exenteration. A less mutilating approach involving chemotherapy and local resection is now used. In rare cases, patients may not respond completely to chemotherapy and may require complete vaginal resection and hysterectomy. In one report of 17 females, surgical cure was achieved in 15 with subsequent successful menses and conception in a few [11]. When resection results in a cure, the vagina can be reconstructed at or after puberty with a colovaginoplasty.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

Get My Free Ebook

Post a comment