Vulvar Malignant Melanoma: A Case of Rapid Progression despite Multimodal Treatment

Author(s): Sang Ho (Sean) Kim, Kenneth M Schneider, Munira Sultana, Idris Yekinni

Vulvar melanoma (VM) remains a condition with an unclear etiology, making its management complex. Typically, treatment protocols for VM mirror those of cutaneous melanoma, primarily emphasizing surgical excision. This case study examines the metastatic progression in an 85-yearold woman, who experienced a concerning advancement of the disease despite receiving the standard treatment. Through an in-depth evaluation, the case illustrates the rapid progression of VM, which poses significant therapeutic challenges. The findings underscore the critical importance of early detection and aggressive treatment strategies to improve outcomes. Additionally, this case highlights the necessity for vigilant follow-up care to monitor potential metastasis and manage the disease effectively. The presentation of this case serves as a call to action for healthcare providers to be proactive in recognizing and addressing vulvar melanoma, particularly in older patients, to enhance their chances of successful intervention and management.