Serous Papillary Adenocarcinoma of Unknown Primary in a Recurrent Paravaginal Cyst

Abstract EN

Cystic lesions located in the paravaginal region are rare.

When present, paravaginal cysts are typically benign and are incidentally found on routine gynecological exams; however, rarely they can be malignant.

Treatment options for paravaginal cancers are not well studied and early diagnosis may help improve prognosis in these patients.

Our case describes a 55-year-old female with a recurrent paravaginal cyst that was remarkable for serous papillary adenocarcinoma despite biopsy and fluid cytology negative for malignancy.

This case demonstrates that malignancy should be considered highly with a recurrent paravaginal cyst, especially when present over a short interval.