English

Abstract

Malignant melanoma of vagina is a rare tumor with incidence rate of only 0.46 cases per one million women per year and less than 250 cases have been reported in medical literature till date. It has a notoriously aggressive behavior and is associated with a high risk of local recurrence and distant metastasis. At present, there are various treatment options for this disease but no standard guideline. It accounts for less than 1% of all malignant melanoma and less than 3% of all primary malignant tumors of the vagina. Conventional imaging techniques i.e. computed tomography, may be sub-optimal in evaluating a small volume of tumor, which may lead to inaccurate staging of a loco-regional tumor. The optimal treatment for vaginal melanoma is a subject of debate. Malignant melanoma of the vagina is a disease of postmenopausal women, with 75% of women being more than 50 years of age. Here, we present a case of primary vaginal malignant melanoma in a 35 year woman located in lower 1/3rd of the vagina.