EC Gynaecology

Case Report Volume 12 Issue 4 - 2023

Challenges in Diagnosis and Surgical Management of Locally Advanced Vulvar Melanoma

Eliona Demaliaj1*, Daniela Nakuci2, Erisa Kola3 Arben Gjata4 and Fatjon Balla5

1Director of Obstetrics and Gynecology, University Hospital of Obstetrics and Gynecology ‘Queen Geraldine’, Tirana, Albania

2Department of Pathology, University Hospital of Obstetrics and Gynecology ‘Queen Geraldine’, Tirana, Albania

3Department of Pathology, Gjirokaster Hospital, Gjirokaster, Albania

4Rector of Medicine University , Tirana University. Tirana Albania

5Department of Obstetrics and Gynecology, University Hospital of Obstetrics and Gynecology ‘Queen Geraldine’, Tirana, Albania

*Corresponding Author: Eliona Demaliaj, Director of Obstetrics and Gynecology, University Hospital of Obstetrics and Gynecology ‘Queen Geraldine’, Tirana, Albania.
Received: February 20, 2023; Published: March 12, 2023

Vulvar melanoma (VM) is an uncommon aggressive gynecological malignancy that accounts 2-10% of all vulvar tumors [1]. An early, accurate diagnosis is essential in reaching appropriate treatment decisions, although this can be difficult as their clinical presentation may be variable especially in amelanotic lesions such as in our case. Advanced stages of presentation affect long-term survival and the quality of life. Surgical resection with adequate free margins is the mainstay of treatment for localized disease, as to date there is no clear consensus regarding therapeutic treatment. Histopathological examination and further immunohistochemistry studies are essential in diagnosis and staging.

We report a case of a 48-year-old woman presenting with advanced stage primary vulvar melanoma and review the literature regarding the current management approach and updates of this rare gynecological cancer.

Keywords: Vulvar Melanoma; Gynecological Malignancy; Malignant Melanoma; Melanoma Prognosis

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Eliona Demaliaj., et al. Challenges in Diagnosis and Surgical Management of Locally Advanced Vulvar Melanoma. EC Gynaecology 12.4 (2023): 18-23.