Primary vaginal squamous cell carcinoma with bladder involvement in uterine prolapsed patient: Case report.

RATIONALE: Primary vaginal squamous cell carcinoma (SCC) is a rare disease. Primary SCC in prolapsed vagina is extremely rare. In the presented case additional bladder involvement was found.

PATIENTS CONCERNS: Primary vaginal SCC may be misinterpreted as decubitus in prolapsed vagina and it may delay proper diagnosis and treatment.

DIAGNOSES: Diagnosis was confirmed by the vaginal ulceration biopsy and cystoscopic biopsy of the involved bladder.

INTERVENTIONS: In the case presented percutaneous nephrostomy was the only possible treatment of hydronephrosis.

OUTCOMES: In advanced primary SCC (Figo IVA) with nodal involvement palliative treatment is only option.

LESSONS: Primary SCC mimicking decubitus which appeared in prolapsed vagina, may be accompanied by bladder involvement.