Symptoms of malignant melanoma of vulva

Vulvar melanoma is often derived from a combination nevus or compound nevus. Clinical manifestations are deepened pigment, increased volume, accelerated growth or ulceration, inflammation and bleeding, etc., alert for malignant transformation. Although vulvar melanoma can be asymptomatic, occasionally found on physical examination, but its most common complaint is vulvar mass, followed by vulvar bleeding and itching, vulvar ulcer, dysuria, pain, these symptoms are generally manifested in patients with advanced stage. If the advanced inguinal region of the disease shows swelling due to metastasis of the tumor, early diagnosis will significantly improve the prognosis. Early signs can be summarized as asymmetric lesions, irregular margins, diverse colors, and enlarged diameters. Attention to these four points can often lead to an early diagnosis. Any pigmented vulvar disease should be highly vigilant. Early vulvar malignant melanoma should be treated by surgery. Advanced patients should consider comprehensive treatment.