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Case Reports in Pathology
Volume 2012, Article ID 986542, 7 pages
http://dx.doi.org/10.1155/2012/986542
Case Report

Coexisting Malignant Melanoma and Blue Nevus of the Uterine Cervix: An Unusual Combination

1Departament de Anatomía Patològica, Hospital Universitari Sant Joan de Reus, Reus, 43201 Tarragona, Spain
2Institut d’Investigació Sanitaria Pere Virgili (IISPV), Universitat Rovira i Virgili, Reus, Tarragona, Spain

Received 9 July 2012; Accepted 26 August 2012

Academic Editors: K. Aozasa, M. M. Picken, and A. Rajput

Copyright © 2012 David Parada et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Malignant melanoma (MM) and blue nevi of the uterine cervix are an extremely rare neoplasm, probably derived from embryologic migration of melanocytes from the neural crest. MM displays aggressive behavior with a poor prognosis. We report the case of a 76-year-old postmenopausal woman abnormal vaginal bleeding. She underwent a hysterectomy and bilateral salpingo-oophorectomy with paraaortic-iliac lymphadenectomy. Histopathological and immunohistochemical studies were consistent with the diagnosis of MM and blue nevi in the uterine cervix. Although it is extremely rare, this case suggests that MM of the uterine cervix should be considered in the differential diagnosis of undifferentiated neoplasm. Early diagnosis is essential in order to warrant a better prognosis, although there are no cases of cure described.