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KMID : 0388019950060010045
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Korean Journal Gynecologic Oncology and Colposcopy
1995 Volume.6 No. 1 p.45 ~ p.52
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A Case of Primary Malignant Melanoma of the Vagina: Vulvovaginal Reconstruction Using Gracilis Myocutaneous Flap Afte Radical Surgery
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정재돈
김창남/손종우/홍성표/이선경
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Abstract
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Primary malignant melanoma of the vagina is rare, with only about 130 reported cases worldwide. They presumably arise from melanocytes that are present in the vagina in 3% of normal women. Vaginal melanoma accounts for less than 1% of melanomas
and
less
than 3% of primary malignant tumors of the vagina. Most of patients complain vaginal bleeding, vaginal discharge, foreign body sensation in order. The best treatment of vaginal melanoma remains enigmatic. Many authors indicate that radical
surgery
may
be the preferred approach and the number of reported cases treated with radical surgery is increasing. But other author comment that no significant change in survival is apparent with radical surgery. Overall prognosis in poor as most patients
have
deeply penetrating lesions at the time of diagnosis. Recently, not only the effort to increase the survival rate but the quality of life including sexual function after treatment is becoming an important issue about treatment of cancer patients.
We experienced a case of primary malignant melanoma of the vagina treated with radical surgery and restored the sexual function by vulvovaginal reconstruction using gracilis myocutaneous flap. So we report this case with brief literature review.
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KEYWORD
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