We report an 84-year-old Japanese @entity1 who presented with a pedunculated @entity320 . @entity320 is believed to be more common in Japan than other countries, but such @entity5 of the vulvovaginal region are quite unusual. In our @entity1 , three @entity5 were connected by a narrow pedicle. Three @entity5 measuring 5-10 mm in diameter with a common pedicle were seen on the vaginal mucosa at five o'clock from the cervix. The @entity5 were hanging from the narrow pedicle. On histologic examination, they were diagnosed as @entity320 . Resection was done with a distal margin of 3 cm from the @entity5 and a margin of 1 cm from the cervix. The @entity1 has had no evidence of local recurrence or distant @entity3 . In our @entity1 , the three main @entity5 had a common pedicle, which seems to be a unique finding. Since pedunculated @entity320 are rare, making a clinical diagnosis is difficult. Although pedunculated @entity320 are recognized as having a high malignant potential because these lesions are generally thick, a relatively good outcome is sometimes reported. In our @entity1 , there was no tumor infiltration into the dermis of the pedicle, and this may be one reason for the good outcome at present. There has been no previous report of a @entity320 consisting of three @entity5 like those in the present @entity1 .

A case of pedunculated XXXX .

@entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['black tumors', 'tumors'] @entity320 :: ('MESH:D008545', 'Disease') :: ['Mucosal melanoma', 'malignant melanomas', 'melanomas', 'malignant melanoma of the vaginal mucosa', 'malignant melanoma', 'mucosal melanoma'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis']
@entity320 :: (MESH:D008545,Disease) :: ['malignant melanoma of the vaginal mucosa']
