Evidence map›Paper›PMID 41013555›Full record

SynthesisBMC women's health2025

Advances in the diagnosis and treatment of primary malignant melanoma of the vagina- a case presentation and systematic review.

Chengbin Lu, Die Fan, Yu Xiong, Xiaoxia Jiang, Jiangsha Li, Ping Yang, Yuanlong Shi, Hongmei Li, Zheng Li

Abstract readSystematic ReviewCase Reports
In one paragraph

Synthesis in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chengbin Lu *Department of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Peking University Cancer Hospital Yunnan, Yunnan Kunming, 650118, China.
Die Fan *Department of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Peking University Cancer Hospital Yunnan, Yunnan Kunming, 650118, China.
Yu Xiong *The library of Kunming Medical University, Yunnan Kunming, 650500, China.
Xiaoxia Jiang *Department of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Peking University Cancer Hospital Yunnan, Yunnan Kunming, 650118, China.
Jiangsha LiDepartment of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Peking University Cancer Hospital Yunnan, Yunnan Kunming, 650118, China.
Ping YangDepartment of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Peking University Cancer Hospital Yunnan, Yunnan Kunming, 650118, China.
Yuanlong ShiDepartment of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Peking University Cancer Hospital Yunnan, Yunnan Kunming, 650118, China.
Hongmei LiThe library of Kunming Medical University, Yunnan Kunming, 650500, China. leemo23@qq.com.
Zheng LiDepartment of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Peking University Cancer Hospital Yunnan, Yunnan Kunming, 650118, China. lizheng@kmmu.edu.cn.

Funding

Beijing Science and Technology Innovation Medical Development Foundation Grant NO. KC2023-JX-0288-RM136National Natural Science Foundation of China Grant NO. 82360533Xingdian Talent Support Program Grant NO. XDYC-YLWS-2024-0032Yunnan Fundamental Research Kunming Medical University Projects Grant NO. 202401AY070001-015Yunnan Province Zhou Shengtao Expert Workstation Grant No. 202405AF140059
6 · The paper itself

Abstract

backgroundPrimary Vaginal Melanoma (PVM) is a rare and highly aggressive malignancy, accounting for only 0.3-0.8% of all female melanomas, with an extremely poor prognosis.

objectivesThis study aims to present the diagnostic process, surgical management, and postoperative chemotherapy options in a patient initially diagnosed with vaginal neuroendocrine carcinoma, later confirmed to have PVM. Additionally, we provide a systematic review to enhance awareness of PVM, reduce misdiagnosis, and improve early detection.

methodsA systematic review of the literature was conducted, and a case report was analyzed.

resultsA total of 89 publications were reviewed, summarizing the various treatment strategies and survival outcomes for PVM. In the reported case, postoperative pathology confirmed the diagnosis of PVM, differentiating it from primary vaginal neuroendocrine carcinoma. The treatment involved partial vaginal excision and removal of lesions from the posterior vaginal wall, followed by adjuvant chemotherapy with temozolomide and cisplatin.

conclusionPVM is highly malignant with a poor prognosis, and surgical resection remains the primary treatment modality; however, its efficacy is limited. While chemotherapy may benefit some patients, the five-year survival rate ranging from 5 to 25%. Therefore, the development of novel therapeutic strategies is crucial. Recent advancements in immunotherapy and targeted therapies targeting BRAF/KIT mutations show promise, but standardized diagnostic and treatment protocols are still lacking. Future multicenter, long-term studies are needed to develop individualized treatment plans based on molecular profiling, providing an evidence-based approach to optimize diagnostic strategies and improve survival rates.

Indexed as

MelanomaVaginal NeoplasmsAgedChemotherapy, AdjuvantFemaleHumansVaginaDifferential diagnosisFemale reproductive tractMalignant melanomaNeuroendocrine carcinomaSystematic review

Identifiers

PMID41013555
PMCPMC12465436

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.