This paper presents diagnostics and treatment of malignant melanoma of the vagina in an 80-year old patient who reported for a regular gynecological checkup and was symptom free at the moment when diagnostics was made. After the biopsy of the tumor which histopathologically verified the malignant melanoma of the vagina a wide excision and complete tumor extirpation was performed. Several months later a foudroyant development of the disease occurred with lethal result. Malignant melanomas of the vagina are very rare yet aggressive tumors, unfortunately usually resistant to oncological therapies, thus making their early diagnostics and quick and radical surgical treatment crucial for prognosis.
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