Primary invasive carcinomas of the vagina, in 37 years of experience at this oncology clinic, are reviewed. The overall incidence is 1.7% of all carcinomas. Thirty-five percent of the patients were 50 years old or younger. The most common locations of the tumor were in the upper posterior and lower anterior vaginal walls. Better survival was obtained with early lesions of the posterior upper vagina. New radiotherapeutic technics have not produced better results but have increased the number of the complications. Considerations on lymphatic distribution of the lower vagina and high incidence of subclinical metastasis to inguinal lymph nodes suggest a more aggressive surgical approach to this disease.
© 1972 The American College of Obstetricians and Gynecologists