Abstract: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.
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