Vulvar melanoma: Follow the protocol - A case report

Melanoma of the vulva has traditionally been treated with radical vulvectomy and bilateral inguinofemoral lymphadenectomy, regardless of the Breslow thickness. Currently the treatment protocol for vulva melanoom is the same as that for cutaneous melanomas generally. Nevertheless, this protocol is not always adhered to because vulvar melanomas often present with a high Breslow thickness and therefore a bad prognosis. According to the guidelines,with thinner melanomas a more conservative approach is advised. In practice however this does not always happen.