Abstract
Background
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.
Case
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.
Key Words
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References
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Article info
Publication history
Published online: December 09, 2017
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
© 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
