Melanoma of vulva in situ, presentation of a case

Melanoma in situ (MIS) usually arises from a junctional nevus. Clinically, the lesion appears dark brown pigmented; sometimes almost black is rare in the vulva and as a relatively slow but definite progression towards invasive melanoma. The clinical case of an 80-year-old patient with multiple comorbidities with a pigmented lesion on the vulva is described, where the histopathological study reported an MIS, and the litter is reviewed for better management.