PT  - JOURNAL ARTICLE
AU  - S Hwang
TI  - EP1163 2 cases of vaginal melanoma treated by robot assisted total vaginectomy
AID  - 10.1136/ijgc-2019-ESGO.1204
DP  - 2019 Nov 01
TA  - International Journal of Gynecologic Cancer
PG  - A603--A603
VI  - 29
IP  - Suppl 4
4099  - http://ijgc.bmj.com/content/29/Suppl_4/A603.2.short
4100  - http://ijgc.bmj.com/content/29/Suppl_4/A603.2.full
SO  - Int J Gynecol Cancer2019 Nov 01; 29
AB  - Introduction/Background Vaginal malignant melaona is rare non-cutaneous melanoma. It account less than 5% of vaginal cancers and 0.5% of all malignant melanomas. I experienced 2 cases of primary malignant melanoma.Methodology Case 1: 58 years old patient was referred due to vaginal black discoloration. She was noticed black discoloration 3 months ago at local OBGY clinical.3 months later, local clinical doctor said black discoloration increased and recommended to our hospital. Punch biopsy was done on several black colored vaginal surface.Case 2: 62 years old patients visited my office due to vaginal discharge. There was black discolortaion spreading whole vaginal surface including uterine cervix. Punch biopsy was done on vagina and uterine cervix.Results I did Robot assisted radical hysterectomy with pelvic lymph node dissection. I did upper 1/3 vaginal dissection via intraperitoneal approach and via vaginal approach I did total vaginectomy. Plastic surgeon did vulvovaginal reconstruction surgery.Conclusion 1st case there was pelvic lymph node positive and 2nd case was lymph node negative. I did adjuvant immounotherapy on 1st case patient and did not done any adjuvant therapy on 2nd patient.Disclosure Nothing to disclose