Had a hysterectomy and experience lower abdominal pain every night

Patient's question:

Every night, lower abdominal pain

Doctor's answer:

Vaginal Tumors: Malignant tumors of the vagina are often secondary, which can directly spread from cervical cancer or originate from endometrial cancer, ovarian cancer, and choriocarcinoma. Additionally, bladder, urethral, or rectal cancers can also frequently metastasize to the vagina. Primary malignant tumors of the vagina are very rare, accounting for approximately 1% of malignant tumors of the female reproductive system. They are primarily squamous cell carcinoma and choriocarcinoma. Other types, such as adenocarcinoma, sarcoma, and malignant melanoma, are even rarer. Many gynecologists have only seen a few cases in their medical practice, as secondary vaginal cancers are more common. Before diagnosing a primary tumor, it is important to consider and rule out the possibility of secondary vaginal cancer.