# An Unusual Presentation of Villoglandular Papillary Adenocarcinoma in a Perimenopausal Woman

## TL;DR

A 46-year-old perimenopausal woman was diagnosed with a rare cervical cancer called villoglandular papillary adenocarcinoma and treated with surgery and radiation.

## Contribution

This case report highlights the unusual presentation of VPA in a perimenopausal woman.

## Key findings

- VPA was diagnosed in a 46-year-old woman with a vaginal mass and irregular menses.
- The patient underwent radical hysterectomy and post-operative radiation therapy.
- VPA is typically seen in reproductive-age individuals but can occur in perimenopausal women.

## Abstract

Villoglandular papillary adenocarcinoma (VPA) or villoglandular adenocarcinoma (VGA) is a rare but well-recognized subtype of cervical carcinoma. It exhibits a favorable prognosis, particularly within the childbearing age group, and is considered a rare manifestation of mucinous adenocarcinoma typically observed in individuals of reproductive age. In comparison to other adenocarcinomas, VPA generally demonstrates a more optimistic prognosis. This report details the case of a 46-year-old perimenopausal woman who presented with complaints of irregular menses and a protruding mass from the vagina. Upon examination, an exophytic growth was identified, replacing the cervix. A biopsy confirmed the diagnosis of VPA. Subsequently, the patient underwent a radical hysterectomy, followed by post-operative radiation therapy.