case_images: PMC11729272_01
case_images: The vaginal mucosa showing numerous scattered atypical cells with brown pigment in the epithelium (arrowhead) and stroma (arrow).
case_images: medi-104-e41259-g001.jpg
case_images: PMC11729272_01_medi-104-e41259-g001.jpg
case_images: F1
case_images: The pathological diagnosis of cervical conization revealed chronic cervicitis, while the pathological diagnosis of vaginal wall was initially LSIL with an atypical subepithelial melanocytic lesion (Fig. 1).
case_images: Atypical cells positive for the melanoma marker HMB-45 (red). HMB-45 = human melanoma black 45.
case_images: medi-104-e41259-g002.jpg
case_images: PMC11729272_01_medi-104-e41259-g002.jpg
case_images: F2
case_images: Specific immunohistochemical staining revealed positive results for melan-A, HMB-45, and Ki-67 (Fig. 2).