Sarcoma botryoides is a variant of embryonal rhabdomyosarcoma with cure rates exceeding 90%. Vaginal presentation is rare and treatment includes chemotherapy and local radiation. Sequelae of vaginal radiation in this age group have not been well defined. However, vaginal stenosis is a known result of pelvic radiation in adult women with vaginal dilation as the primary method of prevention and treatment.
An 18-month-old child was diagnosed with vaginal rhabdomyosarcoma and underwent chemotherapy and vaginal brachytherapy radiation treatment. Six weeks after completion of radiation, vaginoscopy was performed with placement of a nonlatex Foley catheter to prevent vaginal stricture. When removed, vaginal patency was normal with no vaginal erosion.
Summary and Conclusion
Use of a soft, flexible, nonlatex catheter might prevent vaginal stricture in a young child.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Pediatric and Adolescent Gynecology
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Outcome of female pediatric patients diagnosed with genital tract rhabdomyosarcoma based on analysis of cases registered in SEER database between 1973 and 2006.Am J Clin Oncol. 2012; 37: 47
- Application of creatsas vaginoplasty after radical surgical treatment of sarcoma botryoides.J Pediatr Adolesc Gynecol. 2014; 27: 93
- Vaginal dilator therapy for women receiving pelvic radiotherapy.Cochrane Database Syst Rev. 2014; 9: CD007291
- Sexual health in women affected by cancer: focus on sexual pain.Obstet Gynecol. 2016; 128: 775
- Future strategies for mitigation and treatment of chronic radiation-induced normal tissue injury.Semin Radiat Oncol. 2007; 17: 141
- Vaginal stenosis in patients treated with radiotherapy for carcinoma of the cervix.Int J Gynecol Cancer. 2006; 16: 288
- Long-term sequelae of conservative treatment by surgery, brachytherapy, and chemotherapy for vulval and vaginal rhabdomyosarcoma in children.J Clin Oncol. 1990; 8: 1847
Published online: December 09, 2017
The authors indicate no conflicts of interest.
© 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.