benign , premalignant and malignant disease of vagina

BENIGN AND MALIGNANT DISEASE OF THE VAGINA
The vagina is a fibromuscular canal lined with stratified squamous epithelium that leads from the uterus to the vulva
the vagina as any other part of the female genital tract can be affected by congenital abnormalities; infections; atrophic changes of menopause; the prolapse and the premalignant and malignant tumours.
Vaginal atrophy
Fistula
A fistula may be due to trauma, carcinoma or Crohn’s disease

Benign tumours
Tumours in the vagina are uncommon but occur within the vaginal wall and include myoma, fibromyoma, neurofibroma, papilloma, myxoma and adenomyoma. Cystic lesions may be found within the vagina, like Gartner’s or Wolffian duct origin.

1. Condylomata acuminata are by far the commonest seen. The frond like surface is usually characteristic, but it is wise to await the result of a biopsy before instituting treatment, especially if the lesion is close to the cervix.
2. Occasionally deposits of endometriosis can be found beneath the vaginal epithelium,
3. Simple mesonephric (Gartner s) or ,paramesonephric cysts may be seen, especially higher near the fornices. if asymptomatic, they are best not treated. If treatment is required, marsupialization is effective and safer than excision.
4. Adenosis - multiple mucus-containing vaginal cysts - is a rare condition. A variety of abnormalities are reported in the daughters of women who took diethylstilboestrol during their pregnancy. Most of these are of no significance.