Abstract
Abstract
A 46-year-old multiparous lady, who underwent a subtotal hysterectomy for an adherent placenta during her last childbirth 6 years ago, presented with mass and bleeding per vaginum of 2 months' duration. Her general condition was good and her gynecologic examination revealed a blackish pedunculated mass of 4 × 5 cm arising from the lower one third of the posterior vaginal wall. A provisional clinical diagnosis of malignant melanoma of the vagina was made. An ultrasonography of the abdomen showed three secondary deposits in the liver without any para-aortic nodal involvement, which was confirmed by computed tomography. Wide local excision of the mass that was carried out was reported as malignant melanoma of the vagina with the involvement of deep resected margins. She was advised to take 6 cycles of chemotherapy consisting of cisplatin, carmustin, dacarbazine, and tamoxifen. She received 2 cycles of chemotherapy and defaulted. An enquiry for follow-up revealed her sudden demise approximately 3 weeks after the second cycle of chemotherapy. (J GYNECOL SURG 25:29)
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