Vaginal Malignant Melanoma: Case Report and Review of the Literature

The authors report a case of primary malignant melanoma of the vagina in a patient 60 years old, revealed by with autopalpation of a vaginal mass 18 months after radical surgery for right lobular carcinoma under adjuvant hormone therapy. Gynaecological examination revealed a vegetative pigmented tumour in the lower third of the posterior wall of the vagina measuring 2 × 2 cm with no cervical involvement, biopsied as a malignant melanoma. A search for metastases was negative, leading to the conclusion of malignant melanoma. a primary malignant melanoma of the vagina classified as FIGO stage II. The patient underwent a local excision of the vaginal melanoma with detachment of the recto vaginal cul de sac by prior laparoscopy. Adjuvant External radiotherapy was delivered at a dose of 46 Gy at pelvic level, with a complement by vaginal cutherapie at the dose of 11 gy in 2 fraction.