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. Primary and metastatic malignant melanomas represent a rare   diagnosis with a small number of described cases. The aggressive nature of   the tumor, non-specific symptoms, difficult diagnosis, and no official   protocol about the treatment result in poor disease prognosis. Case Outline.   The authors presented a 41-year-old multigravida patient. She had an   operation of malignant melanoma in the occipital area of the head. She went   to her gynecologist because of increased pale pink vaginal secretion.   Gynecological examination didn’t show any significant abnormalities apart   from a slightly enlarged uterus. Papanicolaou test and vaginal secretion   examination were normal. Colposcopically, a significant dark brown   hyperpigmented area around 1 cm in size was observed on the posterior lip of   the cervix, near the orifice and cervical canal, suspicious of melanoma,   which was proven on targeted biopsy of the hyperpigmented change on the   cervix, and by magnetic resonance imaging of the lesser pelvis. Classic   hysterectomy with adnexectomy and regional pelvic lymphadenectomy were   performed. Conclusion. This case report pointed out the significance of   applying colposcopy in diagnosing suspected metastatic melanoma of the   uterine cervix, along with other diagnostic methods and anamnestic data

Metastatic malignant melanoma of the uterus diagnosed by colposcopy