{"id":"https://openalex.org/W4410074083","doi":"https://doi.org/10.7759/cureus.83443","title":"Primary Vaginal Melanoma or Clear Cell Sarcoma: A Difficult Differential Diagnosis","display_name":"Primary Vaginal Melanoma or Clear Cell Sarcoma: A Difficult Differential Diagnosis","publication_year":2025,"publication_date":"2025-05-04","ids":{"openalex":"https://openalex.org/W4410074083","doi":"https://doi.org/10.7759/cureus.83443","pmid":"https://pubmed.ncbi.nlm.nih.gov/40462828"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.83443","doi":"https://doi.org/10.7759/cureus.83443","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.83443","pdf_url":"https://assets.cureus.com/uploads/case_report/pdf/359333/20250504-713100-xp6kfq.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://assets.cureus.com/uploads/case_report/pdf/359333/20250504-713100-xp6kfq.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047691795","display_name":"Dimitrios Panagiotopoulos","orcid":"https://orcid.org/0009-0005-4977-0887","observed_orcids":["https://orcid.org/0009-0005-4977-0887"]},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]},{"id":"https://openalex.org/I4210140282","display_name":"University General Hospital Attikon","ror":"https://ror.org/03gb7n667","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210140282"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Dimitrios Panagiotopoulos","raw_affiliation_strings":["Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC","institution_ids":["https://openalex.org/I200777214","https://openalex.org/I4210140282"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108457395","display_name":"Dimos Sioutis","orcid":"https://orcid.org/0009-0001-3272-202X","observed_orcids":["https://orcid.org/0009-0001-3272-202X"]},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]},{"id":"https://openalex.org/I4210140282","display_name":"University General Hospital Attikon","ror":"https://ror.org/03gb7n667","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210140282"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Dimos Sioutis","raw_affiliation_strings":["Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC","institution_ids":["https://openalex.org/I200777214","https://openalex.org/I4210140282"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Charikleia Papageorgiou","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]},{"id":"https://openalex.org/I4210140282","display_name":"University General Hospital Attikon","ror":"https://ror.org/03gb7n667","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210140282"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Charikleia Papageorgiou","raw_affiliation_strings":["Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC","institution_ids":["https://openalex.org/I200777214","https://openalex.org/I4210140282"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108939764","display_name":"Vaia G Sarli","orcid":"https://orcid.org/0009-0006-7380-2081","observed_orcids":["https://orcid.org/0009-0006-7380-2081"]},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]},{"id":"https://openalex.org/I4210140282","display_name":"University General Hospital Attikon","ror":"https://ror.org/03gb7n667","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210140282"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Vaia G Sarli","raw_affiliation_strings":["Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC","institution_ids":["https://openalex.org/I200777214","https://openalex.org/I4210140282"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Chrisi Christodoulaki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]},{"id":"https://openalex.org/I4210140282","display_name":"University General Hospital Attikon","ror":"https://ror.org/03gb7n667","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210140282"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Chrisi Christodoulaki","raw_affiliation_strings":["Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC","institution_ids":["https://openalex.org/I200777214","https://openalex.org/I4210140282"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041371574","display_name":"Charalampos Theofanakis","orcid":"https://orcid.org/0000-0002-3943-5971","observed_orcids":["https://orcid.org/0000-0002-3943-5971"]},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]},{"id":"https://openalex.org/I4210140282","display_name":"University General Hospital Attikon","ror":"https://ror.org/03gb7n667","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210140282"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Theofanakis Charalampos","raw_affiliation_strings":["Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC","institution_ids":["https://openalex.org/I200777214","https://openalex.org/I4210140282"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017098816","display_name":"Nektarios I. Koufopoulos","orcid":"https://orcid.org/0000-0001-9502-7916","observed_orcids":["https://orcid.org/0000-0001-9502-7916"]},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]},{"id":"https://openalex.org/I4210140282","display_name":"University General Hospital Attikon","ror":"https://ror.org/03gb7n667","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210140282"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Nektarios I Koufopoulos","raw_affiliation_strings":["Second Department of Pathology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Second Department of Pathology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC","institution_ids":["https://openalex.org/I200777214","https://openalex.org/I4210140282"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075291360","display_name":"Vasileia Damaskou","orcid":"https://orcid.org/0000-0002-6584-8833","observed_orcids":["https://orcid.org/0000-0002-6584-8833"]},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]},{"id":"https://openalex.org/I4210140282","display_name":"University General Hospital Attikon","ror":"https://ror.org/03gb7n667","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210140282"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Vasileia Damaskou","raw_affiliation_strings":["Second Department of Pathology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Second Department of Pathology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC","institution_ids":["https://openalex.org/I200777214","https://openalex.org/I4210140282"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102711325","display_name":"Periklis Panagopoulos","orcid":"https://orcid.org/0000-0001-6565-1558","observed_orcids":["https://orcid.org/0000-0001-6565-1558"]},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]},{"id":"https://openalex.org/I4210140282","display_name":"University General Hospital Attikon","ror":"https://ror.org/03gb7n667","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210140282"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Periklis Panagopoulos","raw_affiliation_strings":["Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC","institution_ids":["https://openalex.org/I200777214","https://openalex.org/I4210140282"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103071855","display_name":"Nikolaos Machairiotis","orcid":"https://orcid.org/0000-0003-2260-9709","observed_orcids":["https://orcid.org/0000-0003-2260-9709"]},"institutions":[{"id":"https://openalex.org/I200777214","display_name":"National and Kapodistrian University of Athens","ror":"https://ror.org/04gnjpq42","country_code":"GR","type":"education","lineage":["https://openalex.org/I200777214"]},{"id":"https://openalex.org/I4210140282","display_name":"University General Hospital Attikon","ror":"https://ror.org/03gb7n667","country_code":"GR","type":"healthcare","lineage":["https://openalex.org/I4210140282"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Nikolaos Machairiotis","raw_affiliation_strings":["Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Department of Obstetrics and Gynecology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC","institution_ids":["https://openalex.org/I200777214","https://openalex.org/I4210140282"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.10274573,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":"5","first_page":"e83443","last_page":"e83443"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10392","display_name":"Cutaneous Melanoma Detection and Management","score":0.9580000042915344,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10392","display_name":"Cutaneous Melanoma Detection and Management","score":0.9580000042915344,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12695","display_name":"Urinary and Genital Oncology Studies","score":0.02459999918937683,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12866","display_name":"Urologic and reproductive health conditions","score":0.0032999999821186066,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-vaginal-melanoma","display_name":"primary vaginal melanoma","score":0.9559999704360962},{"id":"https://openalex.org/keywords/clear-cell-sarcoma","display_name":"clear cell sarcoma","score":0.9599999785423279},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.9549999833106995},{"id":"https://openalex.org/keywords/lung-metastasis","display_name":"lung metastasis","score":0.7889999747276306},{"id":"https://openalex.org/keywords/nivolumab","display_name":"nivolumab","score":0.9549999833106995},{"id":"https://openalex.org/keywords/ipilimumab","display_name":"ipilimumab","score":0.9990000128746033},{"id":"https://openalex.org/keywords/immunotherapy","display_name":"immunotherapy","score":0.800000011920929},{"id":"https://openalex.org/keywords/abnormal-vaginal-bleeding","display_name":"abnormal vaginal bleeding","score":0.6639999747276306},{"id":"https://openalex.org/keywords/immunohistochemistry","display_name":"immunohistochemistry","score":0.6679999828338623},{"id":"https://openalex.org/keywords/early-biopsy","display_name":"early biopsy","score":0.40700000524520874}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9858922958374023},{"id":"https://openalex.org/C2780801072","wikidata":"https://www.wikidata.org/wiki/Q837512","display_name":"Differential diagnosis","level":2,"score":0.6746341586112976},{"id":"https://openalex.org/C2777658100","wikidata":"https://www.wikidata.org/wiki/Q180614","display_name":"Melanoma","level":2,"score":0.6298724412918091},{"id":"https://openalex.org/C2778256501","wikidata":"https://www.wikidata.org/wiki/Q223911","display_name":"Sarcoma","level":2,"score":0.47237351536750793},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.4487272799015045},{"id":"https://openalex.org/C2777977315","wikidata":"https://www.wikidata.org/wiki/Q7243056","display_name":"Primary (astronomy)","level":2,"score":0.4459567070007324},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.23868724703788757},{"id":"https://openalex.org/C502942594","wikidata":"https://www.wikidata.org/wiki/Q3421914","display_name":"Cancer research","level":1,"score":0.16271677613258362},{"id":"https://openalex.org/C1276947","wikidata":"https://www.wikidata.org/wiki/Q333","display_name":"Astronomy","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.7759/cureus.83443","doi":"https://doi.org/10.7759/cureus.83443","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.83443","pdf_url":"https://assets.cureus.com/uploads/case_report/pdf/359333/20250504-713100-xp6kfq.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmid:40462828","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40462828","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"},{"id":"pmh:oai:europepmc.org:10946659","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12133202","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:12133202","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12133202","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Cureus","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7759/cureus.83443","doi":"https://doi.org/10.7759/cureus.83443","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.83443","pdf_url":"https://assets.cureus.com/uploads/case_report/pdf/359333/20250504-713100-xp6kfq.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4410074083.pdf","grobid_xml":"https://content.openalex.org/works/W4410074083.grobid-xml"},"referenced_works_count":3,"referenced_works":["https://openalex.org/W2029321825","https://openalex.org/W4281624527","https://openalex.org/W4389801426"],"related_works":["https://openalex.org/W1991879524","https://openalex.org/W2171435634","https://openalex.org/W2066581032","https://openalex.org/W2949989742","https://openalex.org/W2168220598","https://openalex.org/W605998243","https://openalex.org/W2079364398","https://openalex.org/W1983513655","https://openalex.org/W2079772486","https://openalex.org/W4248678482"],"abstract_inverted_index":{"Lower":[0],"genital":[1],"tract":[2],"lesions":[3],"are":[4],"a":[5,58,68,122,146],"frequent":[6],"reason":[7],"for":[8,38,149],"gynecological":[9],"consultation,":[10],"and":[11,29,57,64,75,83,95,113,117,138,154,166,172],"primary":[12,71],"vaginal":[13,55,72,103,141],"melanoma":[14,82],"is":[15,30],"an":[16,34,180],"uncommon":[17],"but":[18],"aggressive":[19],"form":[20],"of":[21,70,81,130,140],"malignancy.":[22],"It":[23],"primarily":[24],"strikes":[25],"in":[26,133],"postmenopausal":[27],"women":[28],"often":[31],"detected":[32],"at":[33],"advanced":[35,181],"stage,":[36],"accounting":[37],"its":[39],"poor":[40,170],"prognosis.":[41],"A":[42],"47-year-old":[43],"Caucasian":[44],"female":[45],"patient":[46,97,106],"was":[47,98,107],"referred":[48],"to":[49,53],"our":[50],"institution":[51],"due":[52],"abnormal":[54],"bleeding":[56],"palpable":[59],"lesion":[60],"near":[61],"the":[62,79,96,131,136,158,169],"urethra,":[63],"subsequently,":[65],"we":[66],"present":[67],"case":[69,127],"melanoma.":[73,104],"Histopathological":[74],"immunohistochemical":[76],"studies":[77],"confirmed":[78],"diagnosis":[80,137],"differentiated":[84],"it":[85],"from":[86],"clear":[87],"cell":[88],"sarcoma.":[89],"Imaging":[90],"showed":[91,121],"multiple":[92],"lung":[93],"metastases,":[94],"restaged":[99],"as":[100,143,145],"stage":[101],"IV":[102],"The":[105],"treated":[108],"with":[109,179],"anti-PD-1":[110],"agent":[111,115],"nivolumab":[112],"anti-CTLA-4":[114],"ipilimumab,":[116],"after":[118],"that,":[119],"she":[120],"good":[123],"clinical":[124],"response.":[125],"This":[126],"illustrates":[128],"some":[129],"difficulties":[132],"wade":[134],"through":[135],"treatment":[139,159],"melanoma,":[142],"well":[144],"powerful":[147],"argument":[148],"obtaining":[150],"early":[151],"definitive":[152],"biopsy":[153],"diagnosis.":[155],"We":[156],"discuss":[157],"options,":[160],"including":[161],"surgical":[162],"excision,":[163],"radiation":[164],"therapy,":[165],"immunotherapy,":[167],"emphasizing":[168],"prognosis":[171],"low":[173],"survival":[174],"rates":[175],"among":[176],"patients":[177],"diagnosed":[178],"stage.":[182]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2025-10-10T00:00:00"}
