title: Neurotropic desmoplastic melanoma: a rare vulvar malignancy.
abstract: Melanoma represents the second most frequent vulvar malignancy, and yet is still considered to be an uncommon neoplasm. Several varieties of melanoma exist. A patient who was diagnosed with a rare subtype of melanoma as a primary vulvar process is presented here. To date, there is 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 lesion 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.
authors.affiliation: Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, New York 11501, USA.
authors.forename: P R
authors.initials: PR
authors.lastname: Byrne
authors.forename: M
authors.initials: M
authors.lastname: Maiman
authors.forename: A
authors.initials: A
authors.lastname: Mikhail
authors.forename: M
authors.initials: M
authors.lastname: Harris
authors.forename: Y
authors.initials: Y
authors.lastname: Rosen
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008545:Melanoma / Q000473:pathology* / Q000601:surgery; D014846:Vulvar Neoplasms / Q000473:pathology* / Q000601:surgery