Abstract
Primary vaginal malignant melanoma is a very rare tumor with less than 300 cases reported to date. We describe a case of primary vaginal melanoma and review the literature. A 60 years postmenopausal female patient presented with painless mass coming out of the vagina with occasional bleeding for last 2-3 weeks. On vaginal examination there was a firm polypoidal growth of size 7 cm attached to the right lateral wall of vagina and coming out of the introitus. Histopathology of the mass showed features of malignant melanoma. Wide local excision was done and adjuvant therapy was given. However patient came back after three months with widespread metastasis and expired 6 months after the initial diagnosis. Vaginal melanoma is a very aggressive tumor and the overall prognosis is very poor despite the treatment modality.
Highlights
Primary vaginal malignant melanoma is a very rare tumor with less than 300 reported cases world wide.[1]
Malignant melanoma is more common in the vulva
Malignant melanoma of the vagina mainly occurs in postmenopausal women, with 75% of patients being over 50 years.[3]
Summary
Primary vaginal malignant melanoma is a very rare tumor with less than 300 reported cases world wide.[1]. INTRODUCTION Primary vaginal malignant melanoma is a very rare tumor with less than 300 reported cases world wide.[1] It accounts for less than 1% of all melanomas in women, less than 10% of all melanomas of female genital tract, and less than 3% of all vaginal malignancies.[2,3,4] In female genital tract, malignant melanoma is more common in the vulva.
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