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原发性阴道黑色素瘤少见。我院25年内遇到1例,现报道如下。患者女,66岁。5胎5产,绝经18年,因阴道不规则流血3个月入院。检查:右前臂皮肤有0.5cm直径之黑痣,两侧腹股沟部可触及直径1～1.5cm之淋巴结。阴道捡查:尿道口右下方处女膜内有直径1.5cm紫黑色结节,质较硬,表面有溃疡,易出血。阴道中段的前后壁粘膜分别有1和2处直径1.5cm之黑斑,质软,不突出粘膜。宫颈、子宫及双侧附件无异常。胸片正常。初诊为原发性阴道黑色素瘤。局麻下行病灶切除,切除范围包括病灶边缘外1.5cm及基底下1cm之组织,并取阴道后壁黑斑活检及切除右前臂
Primary vaginal melanoma is rare. I met one hospital in 25 years, are reported below. Female patient, 66 years old. 5 fetuses 5 births, 18 years of menopause, irregular vaginal bleeding for 3 months admitted to hospital. Check: Right forearm skin with a diameter of 0.5cm mole, on both sides of the groin can reach the diameter of 1 ~ 1.5cm lymph nodes. Vaginal pick up: urethra right hymen hymen 5mm diameter purple nodules, the quality of hard, the surface ulcers, bleeding easily. The middle of the vagina before and after the wall mucosa, respectively, 1 and 2 dark spots 1.5cm in diameter, soft, not prominent mucosa. Cervical, uterine and bilateral annex no abnormalities. Normal chest X-ray. Newly diagnosed as primary vaginal melanoma. Local anesthesia lesion resection, excision range, including lesions outside the edge of 1.5cm and 1cm under the organization, and take the vaginal posterior wall spot and biopsy excision of the right forearm