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Effectual surgical perineal reconstruction of malignant mucosal vulvar melanoma
Ying-Xuan Li1, Wen-Chun Chang1, Kuan-Ju Huang1
1Department of Obstetrics and Gynecology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Objective:
To demonstrate a successful surgical treatment and reconstruction in a case of malignant mucosal vulvar melanoma.
Case Report:
A 52-year-old woman had stage II bulky malignant mucosal vulvar melanoma and received wide surgical excision with partial vulvectomy. She underwent 2-steps reconstructive vulvoplasty and vaginoplasty with skin grafting 1 year after initial surgical treatment. There was no evidence of recurrence after 3 years of follow-up.
Conclusion:
Vulvar melanoma is a rare malignant neoplasm. Wide local excision with reconstruction can relieve pelvic discomfort and restore local function after the surgery.
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