E2448. Vaginal Tumors: What the Radiologists Need to Know and the Oncologists Want to Know
  1. Karthik Bande; The University of Texas Health Science Center at Houston
  2. Preetha Ramalingam; University of Texas MD Anderson Cancer Center
  3. Dhakshinamoorthy Ganeshan; University of Texas MD Anderson Cancer Center
Primary neoplasms involving vagina are rare, accounting for only 1% of all gynecologic malignancies. Vast majority of these are squamous cell carcinoma. However, there are various other tumors including adenocarcinoma, melanoma, and sarcomas. The purpose of this educational exhibit is to describe the imaging spectrum and management of primary vaginal neoplasms.

Educational Goals / Teaching Points
This educational exhibit will describe the incidence and histopathological features of primary vaginal neoplasms, discuss the typical and atypical imaging features, discuss role of MRI and PET CT in staging of these tumors, and describe the current management of the primary vaginal neoplasms.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
MRI and PET CT are the most commonly used imaging modalities used to assess primary vaginal neoplasms. We will discuss the imaging protocol for evaluation of primary vaginal neoplasms. Imaging features of the various histological subtypes will be discussed in this exhibit.

Imaging plays a very important role in the diagnosis and follow-up of primary vaginal neoplasms. Although rare, radiologists should be aware of the clinical and multimodality imaging features that will aid in the early detection and optimal management of primary vaginal neoplasms.