We report a patient with stage II primary vaginal cancer whose tumor disapp
eared on magnetic resonance imaging after a single course of neoajuvant che
motherapy using irinotecan and cisplatin. The regimen was 60 mg/m(2) of cis
platin (day 1) and 60 mg/m(2) of irinotecan (days 1, 8, 15). After addition
of 1 course of cisplatin alone, radical surgery was performed. Histologica
l examination of the excised tissue revealed no cancer cells. This is the f
irst report on the good efficacy of chemotherapy with irinotecan and cispla
tin for advanced vaginal cancer.