Multiple blue nevi of the vagina - A case report

BACKGROUND: Melanotic lesions of the vagina are very rare; clinically, most are suspected to be malignant melanomas. Occasional benign cases, however, require differential diagnostic consideration. We report a case of multipl e (benign) blue nevi of the vagina. CASE: A 51-year-old women presented with bluish black macules irregularly d istributed throughout the vagina. Biopsies revealed pigmented cells in the dermis that proved to be melanocytes. The patient received no therapy. The lesions remained unchanged in the follow-zip period. CONCLUSION: Multiple blue nevi could be a differential diagnosis for malign ant melanoma of the vagina. Our patient showed no malignant transformation over a 29-year period. Therapy for blue nevi ill the vagina does not requir e complete excision.