Urology Case Reports (Mar 2023)

Melanoma in situ of the penis: A very rare entity with an even rarer presentation

  • Afonso Castro,
  • André Lacerda,
  • Miguel Fernandes,
  • Tiago Ribeiro Oliveira,
  • José Palma dos Reis

Journal volume & issue
Vol. 47
p. 102344

Abstract

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Penile melanoma in situ is a very rare malignant neoplasm. Surgical treatment is the standard approach, although there are no recommendations regarding the extent and best technique.A 28-year-old male presented with a dark-brown macule on the glans, whose biopsy revealed melanoma in situ. A local excision followed by a partial resurfacing was performed, with follow-up revealing no sign of recurrence and good quality of life.Melanoma is a very dangerous tumor due to its metastization potential. The main challenge is early diagnosis. Surgical treatment is the best approach, although it is difficult to balance resection and organ preservation.

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