NEUROTROPIC DESMOPLASTIC MELANOMA - A RARE VULVAR MALIGNANCY

Melanoma represents the second most frequent vulvar malignancy, and ye t is still considered to be an uncommon neoplasm. Several varieties of melanoma exist. A patient who was diagnosed with a rare subtype of me lanoma as a primary vulvar process is presented here. To date, there i s only one other reported case of neurotropic desmoplastic melanoma as a primary vulvar lesion. Our management included wide local excision of the primary lesion with clinical follow-up. Microstaging of this le sion showed it to fall into the poor prognosis category as per Breslow 's technique, with a thickness of 6.5 mm. Clinical follow-up has been greater than 30 months without evidence of recurrence. (C) 1995 Academ ic Press, Inc.