Vicky has just learned she has vaginal cancer. She is upset and doesn't understand how this has happened. She turns to you, the clinical educator, for more information
a. Discuss what causes vaginal cancer.
b. Who is likely to have vaginal cancer?
c. What symptoms would you expect to find?
d. What is the treatment for this?
e. What is the prognosis and nursing care involved?
Students' answers should include the following:
a. High incidence among those with human papillomavirus (HPV) and those who have pessary devices and don't clean them properly.
b. Metastatic cancer of the cervix may also be a cause as well as female offspring of mothers who used DES early in their pregnancy.
c. Abnormal vaginal bleeding with dyspareunia, biopsy confirms diagnosis, may have lesions
d. Radiation, photovaporization, as well as vaginectomy; fistulas may arise
e. Treatment is a nursing challenge.
Poor prognosis and treatment are according to the degree of the tumor.
Keep client comfortable.
May have fistulas with fecal matter or urine; need frequent changing of bedding and clothing
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