An extremely rare case of vaginal melanoma treated with hysterocolpectomy

Vaginal melanomas are extremely rare gynaecological malignancies. They are seen in advanced age and commonly present with vaginal discharge in postmenopausal women. Due to the rarity of the disease no standard management is described in the literature. However, surgical excision has been performed in most cases. We present a 77-year-old patient who presented with postmenopausal bleeding for 2 months. She was otherwise healthy. Examination revealed black colour growth in the anterior vagina of 2.5x 2 x 1 cm. complete excision of the tumor was done by hysterocolpectomy where the uterus was removed abdominally similar to the radical hysterectomy and vaginal approach removed the lower and middle vagina. The postoperative period was uneventful and is currently being followed up. Histology confirmed the diagnosis of vaginal melanoma.