The mechanisms underlying the pathogenesis and etiological factors of PMMV remain unknown.[5] Socioeconomic factors such as education level, income, and poverty are unrelated to their occurrence.[5] PMMV is associated with a KIT gene mutation, whereas cutaneous melanomas are often associated with BRAF gene mutation.[5] In addition, hormonal influences such as puberty, pregnancy, menopause, oral contraceptive use, and HPV infection are associated with PMMV.[6] Our patient showed continuous abnormal Pap smear results and positive HPV test results. The gene discussed is KIT; the disease is cutaneous melanoma.