Table 2: Data from the literature review and own patients with vaginal cancers associated with genital prolapsed.
| 
 Author  | 
 Year of Publication  | 
 Age at initial diagnosis  | 
 Histology  | 
 FIGO Stage  | 
 T  | 
 N  | 
 M  | 
 G  | 
 PFS  | 
 Follow up time in months  | 
 died of tumor  | 
 Surgery  | 
 Radio therapy  | 
 Radio chemo therapy  | 
 chemo therapy  | 
 Stage of prolapse  | 
 Pessary  | 
 veginal mesh  | 
 Uro/Gyn previous diagnoses  | 
 immunio- suppressive diagnoses  | 
 immunio- suppressive medication  | 
| 
 This study  | 
 
  | 
 76  | 
 sc  | 
 II  | 
 
  | 
 0  | 
 0  | 
 1  | 
 
  | 
 8  | 
 No  | 
 No  | 
 No  | 
 Yes  | 
 No  | 
 0  | 
 No  | 
 Yes  | 
 Yes  | 
 No  | 
 Yes  | 
| 
 
  | 
 
  | 
 89  | 
 sc  | 
 III  | 
 
  | 
 
  | 
 0  | 
 2  | 
 4  | 
 4  | 
 Yes  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 No  | 
 No  | 
 No  | 
 No  | 
 No  | 
| 
 
  | 
 
  | 
 82  | 
 sc  | 
 I  | 
 1  | 
 
  | 
 0  | 
 3  | 
 5  | 
 9  | 
 No  | 
 Yes  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 No  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
| 
 
  | 
 
  | 
 81  | 
 sc  | 
 IVB  | 
 2  | 
 
  | 
 1  | 
 3  | 
 4  | 
 10  | 
 Yes  | 
 Yes  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 No  | 
 No  | 
 No  | 
 No  | 
 No  | 
| 
 Ishibashi [22]  | 
 2019  | 
 78  | 
 sc  | 
 I  | 
 
  | 
 
  | 
 0  | 
 
  | 
 
  | 
 3  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 No  | 
 No  | 
 No  | 
 No  | 
 No  | 
| 
 Barbarovic [23]  | 
 2018  | 
 86  | 
 others  | 
 I  | 
 1  | 
 0  | 
 0  | 
 3  | 
 
  | 
 14  | 
 
  | 
 Yes  | 
 No  | 
 No  | 
 No  | 
 3  | 
 
  | 
 No  | 
 No  | 
 No  | 
 No  | 
| 
 Fedus [13]  | 
 2017  | 
 69  | 
 sc  | 
 IVA  | 
 
  | 
 1  | 
 
  | 
 
  | 
 
  | 
 
  | 
 Yes  | 
 No  | 
 No  | 
 No  | 
 No  | 
 4  | 
 
  | 
 No  | 
 No  | 
 No  | 
 No  | 
| 
 Sonkusare [24]  | 
 2016  | 
 80  | 
 sc  | 
 II  | 
 2  | 
 0  | 
 0  | 
 1  | 
 2  | 
 8  | 
 
  | 
 Yes  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 
  | 
 No  | 
 No  | 
 No  | 
 No  | 
| 
 Akino [18]  | 
 2016  | 
 67  | 
 sc  | 
 IVB  | 
 3  | 
 1  | 
 1  | 
 
  | 
 4  | 
 4  | 
 Yes  | 
 No  | 
 No  | 
 No  | 
 Yes  | 
 3  | 
 Yes  | 
 No  | 
 No  | 
 No  | 
 Yes  | 
| 
 Kowalski [25]  | 
 2015  | 
 82  | 
 sc  | 
 IVB  | 
 
  | 
 1  | 
 1  | 
 2  | 
 
  | 
 4  | 
 Yes  | 
 No  | 
 No  | 
 Yes  | 
 No  | 
 4  | 
 No  | 
 No  | 
 No  | 
 No  | 
 No  | 
| 
 Wang [26]  | 
 2014  | 
 61  | 
 sc  | 
 I  | 
 1  | 
 
  | 
 0  | 
 1  | 
 
  | 
 48  | 
 
  | 
 Yes  | 
 Yes  | 
 No  | 
 No  | 
 3  | 
 No  | 
 No  | 
 No  | 
 No  | 
 No  | 
| 
 Moszynski [27]  | 
 2014  | 
 65  | 
 sc  | 
 I  | 
 1  | 
 
  | 
 0  | 
 1  | 
 1  | 
 36  | 
 
  | 
 Yes  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 
  | 
 No  | 
 No  | 
 No  | 
 No  | 
| 
 Kim [28]  | 
 2013  | 
 80  | 
 sc  | 
 IVB  | 
 
  | 
 
  | 
 1  | 
 
  | 
 
  | 
 1  | 
 Yes  | 
 No  | 
 No  | 
 No  | 
 No  | 
 3  | 
 No  | 
 No  | 
 No  | 
 No  | 
 No  | 
| 
 Begum [29]  | 
 2013  | 
 75  | 
 sc  | 
 II  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 No  | 
 No  | 
 Yes  | 
 No  | 
 4  | 
 
  | 
 No  | 
 No  | 
 
  | 
 
  | 
| 
 Kumar [30]  | 
 2013  | 
 80  | 
 sc  | 
 I  | 
 1  | 
 0  | 
 0  | 
 1  | 
 
  | 
 6  | 
 
  | 
 Yes  | 
 Yes  | 
 No  | 
 No  | 
 3  | 
 
  | 
 No  | 
 No  | 
 
  | 
 
  | 
| 
 Martin [31]  | 
 2013  | 
 72  | 
 Sc and ad  | 
 II  | 
 
  | 
 
  | 
 0  | 
 3  | 
 
  | 
 
  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 3  | 
 Yes  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
| 
 Acharya [32]  | 
 2012  | 
 84  | 
 sc  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
| 
 Cho [33]  | 
 2011  | 
 75  | 
 sc  | 
 III  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 No  | 
 yes  | 
 No  | 
 No  | 
 3  | 
 No  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
| 
 Batista [34]  | 
 2009  | 
 73  | 
 sc  | 
 I  | 
 1  | 
 0  | 
 0  | 
 2  | 
 
  | 
 24  | 
 
  | 
 Yes  | 
 Yes  | 
 No  | 
 No  | 
 3  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
| 
 Gosh [35]  | 
 2009  | 
 50  | 
 sc  | 
 I  | 
 1  | 
 0  | 
 0  | 
 2  | 
 
  | 
 12  | 
 
  | 
 Yes  | 
 No  | 
 No  | 
 No  | 
 3  | 
 
  | 
 No  | 
 No  | 
 
  | 
 
  | 
| 
 Gupta [36]  | 
 2007  | 
 60  | 
 sc  | 
 III  | 
 
  | 
 
  | 
 0  | 
 
  | 
 
  | 
 
  | 
 
  | 
 No  | 
 No  | 
 Yes  | 
 No  | 
 3  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
| 
 lavazzo [37]  | 
 2007  | 
 80  | 
 sc  | 
 I  | 
 1  | 
 
  | 
 0  | 
 3  | 
 
  | 
 42  | 
 
  | 
 Yes  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 
  | 
 
  | 
 No  | 
 No  | 
 No  | 
| 
 Karateke [38]  | 
 2006  | 
 68  | 
 sc  | 
 II  | 
 
  | 
 
  | 
 0  | 
 1  | 
 
  | 
 20  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 
  | 
 
  | 
 No  | 
 
  | 
 
  | 
| 
 Jain [7]  | 
 2006  | 
 96  | 
 others  | 
 
  | 
 
  | 
 
  | 
 
  | 
 3  | 
 
  | 
 
  | 
 No  | 
 No  | 
 No  | 
 No  | 
 No  | 
 3  | 
 Yes  | 
 No  | 
 No  | 
 
  | 
 
  | 
| 
 
  | 
 
  | 
 88  | 
 sc  | 
 
  | 
 
  | 
 
  | 
 
  | 
 3  | 
 
  | 
 
  | 
 Yes  | 
 No  | 
 No  | 
 No  | 
 No  | 
 3  | 
 Yes  | 
 no  | 
 Yes  | 
 
  | 
 
  | 
| 
 Meier [39]  | 
 1995  | 
 74  | 
 sc  | 
 
  | 
 
  | 
 
  | 
 0  | 
 2  | 
 
  | 
 12  | 
 
  | 
 No  | 
 No  | 
 Yes  | 
 No  | 
 3  | 
 
  | 
 
  | 
 No  | 
 No  | 
 No  | 
| 
 Bemal Bastidas [40]  | 
 1989  | 
 84  | 
 sc  | 
 I  | 
 1  | 
 
  | 
 
  | 
 1  | 
 
  | 
 
  | 
 
  | 
 Yes  | 
 Yes  | 
 No  | 
 No  | 
 3  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
| 
 Rao [11]  | 
 1989  | 
 44  | 
 sc  | 
 
  | 
 
  | 
 
  | 
 0  | 
 1  | 
 
  | 
 
  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 3  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
| 
 
  | 
 
  | 
 45  | 
 sc  | 
 
  | 
 
  | 
 
  | 
 0  | 
 1  | 
 18  | 
 18  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 3  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
| 
 
  | 
 
  | 
 50  | 
 sc  | 
 
  | 
 
  | 
 
  | 
 0  | 
 1  | 
 
  | 
 
  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 3  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
| 
 
  | 
 
  | 
 55  | 
 sc  | 
 IVA  | 
 
  | 
 
  | 
 0  | 
 1  | 
 
  | 
 
  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
| 
 
  | 
 
  | 
 61  | 
 sc  | 
 
  | 
 
  | 
 
  | 
 0  | 
 1  | 
 
  | 
 
  | 
 
  | 
 No  | 
 No  | 
 No  | 
 No  | 
 4  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
| 
 
  | 
 
  | 
 72  | 
 sc  | 
 IVB  | 
 
  | 
 
  | 
 1  | 
 3  | 
 3  | 
 3  | 
 Yes  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 4  | 
 
  | 
 
  | 
 
  | 
||
| 
 Howat [41]  | 
 1984  | 
 74  | 
 sc  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 
  | 
 
  | 
 no  | 
 no  | 
 
  | 
 
  | 
| 
 Gautier [42]  | 
 1971  | 
 77  | 
 sc  | 
 II  | 
 
  | 
 0  | 
 0  | 
 
  | 
 
  | 
 
  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 1  | 
 Yes  | 
 
  | 
 
  | 
 
  | 
 
  | 
| 
 
  | 
 
  | 
 83  | 
 sc  | 
 III  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 
  | 
 Yes  | 
 
  | 
 Yes  | 
 
  | 
 
  | 
| 
 Amalric [43]  | 
 1970  | 
 85  | 
 sc  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 
  | 
 Yes  | 
 
  | 
 
  | 
 
  | 
 
  | 
| 
 Lamotte [44]  | 
 1969  | 
 67  | 
 ad  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 No  | 
 Yes  | 
 No  | 
 No  | 
 
  | 
 Yes  | 
 
  | 
 
  | 
 No  | 
 No  | 
| 
 Russel [8]  | 
 1961  | 
 55  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 Yes  | 
 
  | 
 
  | 
 
  | 
 
  | 
||
| 
 
  | 
 
  | 
 74  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 Yes  | 
 
  | 
 
  | 
 
  | 
 
  | 
||
| 
 
  | 
 
  | 
 66  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 Yes  | 
 
  | 
 
  | 
 
  | 
 
  | 
|
| 
 
  | 
 
  | 
 84  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 
  | 
 Yes  | 
 
  | 
 
  | 
 
  | 
 
  | 
|
| 
 75  | 
 
  | 
 
  | 
 Yes  | 
||||||||||||||||||
| 
 77  | 
 
  | 
 
  | 
 Yes  | 
||||||||||||||||||
| 
 Berthelsen [45]  | 
 1957  | 
 83  | 
 sc  | 
 I  | 
 
  | 
 
  | 
 0  | 
 
  | 
 
  | 
 
  | 
 
  | 
 yes  | 
 No  | 
 No  | 
 No  | 
 4  | 
 
  | 
 
  | 
 Yes  | 
 No  | 
 No  | 
Histology: sc: sqamous cell carcinoma, ad: adeno carcinoma; TNM stage: T: tumour, N: nodes, M: metastasis G: grading, PFS: progression free survival in month