Abstract
Primary malignant vaginal melanoma is a rare tumor. It accounts for less than 5% of all primary malignant tumors of the vagina. It mainly occurs in postmenopausal women. Its diagnosis is delayed due to frequent and early recurrence. So it is important to think carefully before indicating an often heavy first surgery. We describe a case of vaginal melanoma in a 70- year -old woman. Our aim is to present the clinical diagnosis and the therapeutic aspects of this rare entity.
Highlights
Primary malignant vaginal melanoma is extremely rare
Vaginal melanoma is a rare disease of the genital tract
The data reported in the literature including rare series are insufficient to establish re commendations about such melanoma vaginal margins that are needed to achieve anterior and posterior pelvic exenteration, Several authors advocate radical surgery up to the pelvic exenteration to improve local control and patient survival
Summary
Melanoma is a malignant tumor that develops from melanocytes These come embryologically from the neural crest. Vaginal melanoma is a rare disease of the genital tract. It represents less than 5% of all cancers of the vagina. Vaginal melanoma differs from cutaneous melanoma clinically and biologically It is more aggressive with a late diagnosis and a poor prognosis [2]. There were three lesions of 1.5 cm at the anterior vaginal fundus, 1 cm at the right vaginal wall and 4.5 cm at the left vaginal wall flush the vulva These tumors were brown budding, with superficial ulceration.
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