DOI: 10.36347/sjams.2017.v05i02.053

Pages: 570-573

Primary vaginal malignant melanoma is a very rare, but very aggressive tumor. We describe a case of primary vaginal amelanotic melanoma. A 68 years postmenopausal female patient presented with painless mass coming out from the vagina with history of bleeding on and off for the past 3 months. On vaginal examination there was a polypoidal growth of size 4 cm attached to the anterior wall of vagina. Histopathology of the mass showed features of malignant amelanotic melanoma. Wide local excision was done and adjuvant therapy was given. However patient developed widespread metastasis and died 6 months after the initial diagnosis. The overall prognosis is very poor despite the treatment modality because most cases are diagnosed at a late stage.