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Vulvar melanoma can strike younger women. (Case Report).
PORTO, PORTUGAL -- Despite its reputation as a malignancy of elderly females, vulvar melanoma also can occur in younger women, Dr. Patricia Santos reported. at the 23rd Congress of the International Society for Dermatologic Surgery.
A pigmented lesion of the vulva was noted on a routine annual examination of a 39-year-old woman, Dr. Santos said. The 3.5cm lesion occupied the lowest portion of the labia minora and was irregular and ulcerated.
It was flat and not indurated or tender, and no inguinal adenopathy was present.
Histologic evaluation determined it to be a superficial spreading melanoma of 1.5-mm thickness. There was no evidence of local spread or metastasis.
The woman underwent a partial vulvectomy with 2-cm surgical margins, and reconstruction was done using an inguinal skin flap.
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