Published online Jul 24, 2024. doi: 10.5306/wjco.v15.i7.953
Revised: May 8, 2024
Accepted: June 7, 2024
Published online: July 24, 2024
Processing time: 117 Days and 14.7 Hours
Primary malignant melanoma of the cervix (PMMC) is an extremely rare disease that originates from primary cervical malignant melanoma and frequently re
Here, we report a case of amelanotic PMMC, with a history of breast cancer and thyroid carcinoma. The patient was finally diagnosed by immunohistochemical staining and staged as IB2 based on the International Federation of Gynecology and Obstetrics with reference to National Comprehensive Cancer Network guide
The differential diagnosis process reenforced the notion that immunohistochemical staining is the most reliable approach for amelanotic PMMC diagnosis. Due to the lack of established therapeutic guidelines, empirical information from limited available studies does not provide the rationale for treatment-decision making. By integrating 'omics' technologies and patient-derived xenografts or mini-patient-derived xenograft models this will help to identify selective thera
Core Tip: We report a case of unsuspected amelanotic primary malignant melanoma of the cervix (PMMC) with a history of breast cancer. The patient underwent radical hysterectomy, bilateral salpingo-oophorectomy and pelvic lymphadenectomy, and then received radiotherapy combined with immunotherapy. She has remained free of disease for more than 1 year. The successful management of this patient underscores the critical role of routine immunohistochemical staining during cervical cancer diagnosis to exclude unsuspected PMMC, and adjuvant immunotherapy may be an option for PMMC.