Abstract
Vulvar melanoma is the second most common vulvar malignancy. Involvement of the clitoris is rare.
Clitoral malignant melanoma was diagnosed in a 77-year-old woman. Partial vulvectomy with bilateral inguinal lymphadenectomy was performed.
Methylene blue dye was administered in the peritumoral skin for detection of sentinel lymph node during operation, in order to confirm the drainage pattern in such centrally localized tumour One negative sentinel lymph node was identified in the right inguinal region. None of further excised lymph nodes were infiltrated by tumor cells.