International Journal of Academic Health and Medical Research (IJAHMR)   Year: 2022 | Volume: 6 | Issue: 1 | Page No.: 9-12 Malignant melanoma: a rare case report Download PDF Hamza Zizi, Meryem Alami, Nisrine Mamouni, Sanae Errarhay, Chahrazed Bouchikhi, Abdelaziz Banani Abstract: Malignant melanoma is an aggressive tumor of the skin and mucous membranes that grows on melanocytes. The diagnosis is often unrecognized and is made at a late stage. Its evolution is unfavorable with frequent visceral metastases and a very short survival. A 46 years old patient, consulted for menometrorrhagia evolving for 5 months. The rectal examination revealed an enlarged uterus with the perception of a poorly defined vaginal mass that was difficult to characterize. A suprapubic pelvic ultrasound showed a rounded echogenic image of 13.9/13.6 mm in the vagina. An abdomino-pelvic scan (figure 1) showed 2 pelvic masses: vaginal and uterine, measuring respectively 80×85 mm and 95 ×140 mm in diameter, associated with heterogeneous locoregional PDAs, the largest measuring 26 mm in minor axis, of secondary appearance. The histological study confirmed the diagnosis. Due to the secondary nature of the disease, the patient was to receive chemotherapy. However, she died before the beginning of the treatments.