sarcoma botryoides

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The most common tumour of the cervix and vagina in children and adolescents under the age of 16; 90% occur in children under five years. Symptoms are vaginal bleeding and a bloody discharge; in young girls the tumour may protrude from the cervix. It is a highly malignant rhabdomyosarcoma with the appearance of a bunch of grapes. Treatment is with triple chemotherapy with or without radiotherapy prior to hysterectomy and vaginectomy.

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