Early ‘Invasive’ Malignant Melanoma of the Glans penis and the
Male Urethra

Primus, G.; Soyer, H. Peter; Smolle, Josef; Mertl, G.; Pummer, Karl; Kerl, Helmut

doi:10.1159/000463896

Cited by 14 publications

(5 citation statements)

References 13 publications

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“…The small case numbers hinders the development of specific guidelines. Moreover, for both early invasive and in situ stages involving the glans and urethra, technical repair options are limited to case-adapted surgical strategies and surgeon’s skill [ 4 , 5 ]. One-stage reconstructive approaches have been reported but without a proper follow-up [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Two-stage functional and aesthetic reconstructive surgery in melanoma in situ of the glans penis and urethra

Campodonico

Capponi

Ennas

et al. 2021

Cent european J Urol

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Melanoma in situ including glans penis and fossa navicularis is unique and represents a challenging dilemma since surgery should not be very aggressive. We present a case of melanoma in situ treated with a two-stage penile and urethral reconstructive surgery, with emphasis on functional and aesthetic results. At the first-stage surgery an anatomic glansectomy was perfomed, and combined preputial and full-thickness skin grafts were used to prepare the urethral plate and restore the aesthetic aspect of the corpora cavernosa. After 6 months, the distal urethra was repaired including the configuration of an orthotopic meatus and a neo-glans.

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Section: Discussionmentioning

confidence: 99%

Two-stage functional and aesthetic reconstructive surgery in melanoma in situ of the glans penis and urethra

Campodonico

Capponi

Ennas

et al. 2021

Cent european J Urol

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“…These lesions are usually benign completely indistinguishable clinically from primary penile melanoma (7). Dermoscopy may prove useful for the differential diagnosis between mucosal melanosis, and other mimickers, and early melanoma.…”

Section: Discussionmentioning

confidence: 99%

Penile primary melanoma: analysis of 6 patients treated at Brazilian national cancer institute in the last eight years

et al. 2013

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“…in diameter, blue-black to reddish-brown pigmented papule, plaque or ulceration. The clinical differential diagnoses includes junctional melanocytic naevus, penile melanosis, penile lentigo and atypical pigmented penile macules (6). These completely benign lesions are usually clinically indistinguishable from MM.…”

Section: Discussionmentioning

confidence: 99%

Malignant melanoma of the glans penis and male urethra Glans penis ve erkek üretrasının primer malign melanomu

Mehmet;GÖKÇE¹

2006

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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CERRAHİ BİLİMLER / SURGICAL SCIENCESOlgu Bildirisi / Case Report P rimary MM of the penis and male urethra are uncommon neoplasms. MM of the urethral meatus, the glans penis, the prepuce and the penile shaft are cutaneous forms, while melanomas of the rest of the urethra are mucosal forms. The diagnosis is often delayed by the patient's reluctance to consult a physician and by the intrinsic difficulty of such a rare neoplasm. We present a case of malignant melanoma of glans penis and urethral meatus. Case reportThe patient, 73 years old, presented to the urology department of our hospital with pigmented plaque on his glans penis, which had been present for 1 year and rapidly increasing in the last 4 months. Physical examination revealed an approximately 1 cm diameter, unevenly black pigmented, poorly circumscribed, flat lesion on glans penis situated around the meatus externus and merges in the distal part of the urethra. Bilateral palpable inguinal lymphadenopathy was present. There was an approximately 0.5 cm diameter, soft nodule on the left side of the penile shaft (Figure 1). Chest radiography, sonography of the liver did not show evidence of metastatic disease, but bilateral inguinal lymph node metastases showed by computerized tomography of the lower abdomen. Incisinal biopsy was done to penile lesions and inguinal lenf node. The histologic diagnosis was: cutaneus lentiginous MM of the glans (Figure 2a, 2b), 5.64 mm in thickness, with multiple conglomeruleted lenf node metastasis. Patient refuse the all treatment modalities, and died six months later.Malignant melanoma (MM) of the penis is rare and accounts for a small percentage of malignant melanomas and of malignant penile lesions. The problem of the therapeutic approach is still unsolved. In general prognosis is poor and most patients die within a few years becouse of the distant metastasis.

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Early ‘Invasive’ Malignant Melanoma of the Glans penis and the Male Urethra

Cited by 14 publications

References 13 publications

Two-stage functional and aesthetic reconstructive surgery in melanoma in situ of the glans penis and urethra

Two-stage functional and aesthetic reconstructive surgery in melanoma in situ of the glans penis and urethra

Penile primary melanoma: analysis of 6 patients treated at Brazilian national cancer institute in the last eight years

Malignant melanoma of the glans penis and male urethra Glans penis ve erkek üretrasının primer malign melanomu

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