Melanoma primario de cuello uterino: Reporte de caso

Abstract

Summary Primary mucosal melanoma accounts for 1% of all cancers. Its location in the cervix is rare, and less than 100 cases have been reported in the literature to date. Data related to its staging and treatment are scarce, and it has a poor prognosis, with survival rates of 10% at 5 years. We present the clinical case of an 82-year-old patient with vaginal bleeding, with evidence of a melanotic lesion of the cervix. The biopsy of the lesion reported a poorly differentiated malignant tumor involvement, with an immune profile confirming malignant melanoma. Extension studies performed showed no distant metastatic disease. The case was presented in a multidisciplinary oncological gynecology meeting, indicating treatment with exclusive external pelvic radiotherapy with palliative intent for symptom control, considering patient’s age, comorbidities, and ECOG 3 (Eastern Cooperative Oncology Group) functional status. After 10 months of follow-up, the patient died.