case_images: PMC5286487_01
case_images: Macroscopic findings demonstrated a 2 cm polypoid blackish-pigmented tumor in the cervix (a). Multiple small blackish-pigmented tumors throughout the vaginal wall spreading to the lower third of the vagina (b).
case_images: CRIOG2017-5656340.001.jpg
case_images: PMC5286487_01_CRIOG2017-5656340.001.jpg
case_images: fig1
case_images: Gynecologic examination and colposcopic findings revealed a 2 cm polypoid blackish-pigmented tumor in the cervix, and multiple small blackish-pigmented lesions were found throughout the vaginal wall, spreading to the lower third of the vagina (Figure 1).
case_images: Surgical specimens showed a 2 cm polypoid blackish-pigmented tumor in the uterine cervix (a), and multiple small blackish-pigmented tumors throughout the vaginal wall (b).
case_images: CRIOG2017-5656340.002.jpg
case_images: PMC5286487_01_CRIOG2017-5656340.002.jpg
case_images: fig2
case_images: She underwent radical hysterectomy, bilateral salpingooophorectomy, pelvic lymphadenectomy, and total vaginectomy (Figure 2) without any major complications, and optimal surgery was achieved with no residual tumors.
case_images: Pathological findings of the cervix revealed spindle-shaped tumor cells showing intracytoplasmic melanin (a) and strong reactivity for melan-A (b). There were similar findings in the vagina (c, d). The invasion depth of the cervical tumor was deeper than that of the vaginal tumors. Magnification: (a) x400, (b) x400, (c) x40, (d) x100.
case_images: CRIOG2017-5656340.003.jpg
case_images: PMC5286487_01_CRIOG2017-5656340.003.jpg
case_images: fig3
case_images: Pathological examination of the cervix and vaginal wall demonstrated spindle-shaped tumor cells showing intracytoplasmic melanin and strong reactivity for melan-A (Figure 3).