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Throughout the years 1978-1998, 13 patients, 9 months to 16 years of age, were treated for vaginal malignancy at the Medical City Hospital, Baghdad, Iraq. The majority were found to have an embryonal sarcoma, an endodermal sinus tumour or a clear cell adenocarcinoma. Most were treated by genital resection combined with triple cytotoxic therapy. We have eight survivors for more than 3 years following surgery. This study also illustrates the potential curability of these tumours with preservation of urinary function.
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