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Kaakoua M, Azami MA, Karmouche Y, Haouane MA, El Fadli M, Belbaraka R, Ghoundale O, Essâdi I. Unusual penile localization of melanoma. Clin Case Rep 2022; 10:e6500. [DOI: 10.1002/ccr3.6500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 08/19/2022] [Accepted: 10/08/2022] [Indexed: 11/21/2022] Open
Affiliation(s)
- Mohamed Kaakoua
- Medical Oncology Department Ibn Sina Military Hospital Marrakesh Morocco
| | | | | | | | - Mohammed El Fadli
- Medical Oncology Department Mohammed VI University Hospital Marrakesh Morocco
| | - Rhizlane Belbaraka
- Medical Oncology Department Mohammed VI University Hospital Marrakesh Morocco
| | - Omar Ghoundale
- Urology Department Ibn Sina Military Hospital Marrakesh Morocco
| | - Ismail Essâdi
- Medical Oncology Department Ibn Sina Military Hospital Marrakesh Morocco
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Boui M, Hammoune N, Slioui B, Zouaki Z, Atmane M, Mouhsine A, Haouane MA, Azami MA, Kaakoua M, Assadi I, Boui M, Bouhamidi A. Hepatic Metastasis Revealing a Melanoma of the Penis: Case Report. JMIR DERMATOLOGY 2022; 5:e37400. [PMID: 37632880 PMCID: PMC10334924 DOI: 10.2196/37400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 08/25/2022] [Accepted: 08/26/2022] [Indexed: 11/13/2022] Open
Abstract
Melanoma of the penis is a rare tumor with a poor prognosis. We report the case of a 73-year-old patient with no significant medical history, admitted for deterioration of the general condition and bilateral inguinal lymph nodes. An abdominal ultrasound and thoraco-abdomino-pelvic CT (computed tomography) scan revealed metastatic liver nodules, the tumoral nature of which was confirmed by an anatomopathological examination. Further clinical examination revealed papular and ulcerated lesions of the penis located at the urethral meatus and glans penis. These lesions were biopsied and histologically assessed as melanoma. The contribution of imaging in penile tumors is generally not useful for diagnosis as clinical examination is key. However, it has its place in the assessment of locoregional and distant extension. In our case, it was the distant lesions that helped orient the diagnosis. The patient underwent immunotherapical treatment and is still alive 19 months after the diagnosis.
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Affiliation(s)
- Meriem Boui
- Department of Radiology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - Nabil Hammoune
- Department of Radiology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - Badr Slioui
- Department of Radiology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - Zakaria Zouaki
- Department of Radiology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - Mehdi Atmane
- Department of Radiology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - Abdelilah Mouhsine
- Department of Radiology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - Mohamed Amine Haouane
- Department of Anatomopathology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - Mohamed Amine Azami
- Department of Anatomopathology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - Mohamed Kaakoua
- Department of Oncology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - Ismail Assadi
- Department of Oncology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - Mohammed Boui
- Department of Dermatology, Military Hospital Mohammed V, Medical University of Rabat, Rabat, Morocco
| | - Ahmed Bouhamidi
- Department of Dermatology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco
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Maruyama Y, Sadahira T, Mitsui Y, Wada K, Tanimoto R, Kobayashi Y, Araki M, Watanabe M, Watanabe T, Nasu Y. Red nodular melanoma of the penile foreskin: A case report and literature review. Mol Clin Oncol 2018; 9:449-452. [PMID: 30233796 DOI: 10.3892/mco.2018.1697] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2018] [Accepted: 08/02/2018] [Indexed: 11/05/2022] Open
Abstract
The penis is an extremely rare primary site for malignant melanomas, and the clinical presentation may vary greatly. We herein present the case of a 71-year-old male patient who presented with a 6-year history of two slow growing, asymptomatic red macules on the penile foreskin. On physical examination, the mobility of the foreskin was good, and there was no metastasis on computed tomography and magnetic resonance imaging. The patient underwent segmental circumcision for treatment and histological diagnosis, and the histological examination revealed a malignant melanoma. As cancer cells were identified at the edge of the tissue specimen and computed tomography-positron emission tomography revealed increased uptake of 18F-fluorodeoxyglucose in the penis, wider resection and a right sentinel lymph node biopsy were performed; both specimens came back negative. Two years after the surgery, there has been no evidence of locoregional recurrence or distant metastases. The aim of this report is to alert physicians to include melanoma in the differential diagnosis of red-pigmented lesions of the penile foreskin.
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Affiliation(s)
- Yuki Maruyama
- Department of Urology, Okayama University Graduate School of Medicine, Okayama, Okayama 700-8558, Japan
| | - Takuya Sadahira
- Department of Urology, Okayama University Graduate School of Medicine, Okayama, Okayama 700-8558, Japan
| | - Yosuke Mitsui
- Department of Urology, Okayama University Graduate School of Medicine, Okayama, Okayama 700-8558, Japan
| | - Koichiro Wada
- Department of Urology, Okayama University Graduate School of Medicine, Okayama, Okayama 700-8558, Japan
| | - Ryuta Tanimoto
- Department of Urology, Okayama University Graduate School of Medicine, Okayama, Okayama 700-8558, Japan
| | - Yasuyuki Kobayashi
- Department of Urology, Okayama University Graduate School of Medicine, Okayama, Okayama 700-8558, Japan
| | - Motoo Araki
- Department of Urology, Okayama University Graduate School of Medicine, Okayama, Okayama 700-8558, Japan
| | - Masami Watanabe
- Department of Urology, Okayama University Graduate School of Medicine, Okayama, Okayama 700-8558, Japan
| | - Toyohiko Watanabe
- Department of Urology, Okayama University Graduate School of Medicine, Okayama, Okayama 700-8558, Japan
| | - Yasutomo Nasu
- Department of Urology, Okayama University Graduate School of Medicine, Okayama, Okayama 700-8558, Japan
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Baraziol R, Schiavon M, Fraccalanza E, De Giorgi G. Melanoma in situ of penis: a very rare entity: A case report and review of the literature. Medicine (Baltimore) 2017; 96:e7652. [PMID: 28885326 PMCID: PMC6393035 DOI: 10.1097/md.0000000000007652] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
RATIONALE Melanoma in situ of the penis is very rare and there are no clear guidelines for its surgical treatment. PATIENT CONCERNS The authors describe the case of a 69-year-old man who presented with an asymptomatic brown macula on his glans penis and foreskin that appeared about 8 years earlier, enlarged in the last few months. DIAGNOSES A diagnostic biopsy showed the characteristics of a melanoma in situ. INTERVENTIONS The authors decided to excise the lesion keeping a healthy margin of 1 cm all over around except close to the urethral meatus, where it was impossible, and where only 5 mm of free margin was excised. A full thickness mucosal graft from oral cavity was performed to repair the defect. OUTCOMES No recurrence or metastasis occurred during 50 months after the operation. LESSONS Considering that at the sixth clinical follow-up the patient was alive and disease free at 50 months after surgery, the chosen treatment has proved successful.
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Affiliation(s)
- Roberto Baraziol
- Azienda Sanitaria Universitaria Integrata di Udine, Plastic Surgery Unit
| | - Mauro Schiavon
- Azienda Sanitaria Universitaria Integrata di Udine, Plastic Surgery Unit
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Abstract
In addition to practitioners who care for male patients, with the increased use of high-resolution anoscopy, practitioners who care for women are seeing more men in their practices as well. Some diseases affecting the penis can impact on their sexual partners. Many of the lesions and neoplasms of the penis occur on the vulva as well. In addition, there are common and rare lesions unique to the penis. A review of the scope of penile lesions and neoplasms that may present in a primary care setting is presented to assist in developing a differential diagnosis if such a patient is encountered, as well as for practitioners who care for their sexual partners. A familiarity will assist with recognition, as well as when consultation is needed.
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Debarbieux S, Perrot JL, Erfan N, Ronger-Savlé S, Labeille B, Cinotti E, Depaepe L, Cardot-Leccia N, Lacour JP, Thomas L, Bahadoran P. Reflectance confocal microscopy of mucosal pigmented macules: a review of 56 cases including 10 macular melanomas. Br J Dermatol 2016; 170:1276-84. [PMID: 24359328 DOI: 10.1111/bjd.12803] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/16/2013] [Indexed: 12/23/2022]
Abstract
BACKGROUND Although most mucosal pigmented macules are benign, it can be clinically challenging to rule out an early melanoma. Reflectance confocal microscopy (RCM) is a noninvasive imaging technique useful in discriminating between benign and malignant skin lesions. OBJECTIVES To describe the confocal aspects of benign and malignant mucosal pigmented macules with histopathological correlations. METHODS We retrospectively reviewed the confocal images of 56 labial or genital pigmented macules including 10 macular melanomas. According to the retrospective nature of the study, we evaluated the recorded images chosen by the physicians that performed the RCM examination for each case. RESULTS In benign macules, the most frequently observed pattern was a ringed pattern characterized by round or polycyclic papillae, with a hyper-reflective basal layer; another pattern was characterized by sparse bright dendritic cells in the basal layer, the basal epithelial cells being otherwise less reflective. Roundish cells, a high density of dendritic cells with atypias and intraepithelial bright cells were clues to the presence of malignancy. CONCLUSIONS Reflectance confocal microscopy seems to be a valuable tool to noninvasively differentiate benign from malignant mucosal pigmented macules and target biopsies in cases of equivocal features.
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Affiliation(s)
- S Debarbieux
- Department of Dermatology, Centre Hospitalier Lyon Sud, Pierre Bénite, France
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Napolitano M, Annessi G, Didona D, Didona B. Multifocal melanoma in situ of the penis treated with topical Imiquimod. J Eur Acad Dermatol Venereol 2014; 30:458-60. [PMID: 25376867 DOI: 10.1111/jdv.12835] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- M Napolitano
- Istituto Dermopatico dell'Immacolata-IRCCS, Rome, Italy
| | - G Annessi
- Istituto Dermopatico dell'Immacolata-IRCCS, Rome, Italy
| | - D Didona
- University of Rome 'La Sapienza', Rome, Italy
| | - B Didona
- Istituto Dermopatico dell'Immacolata-IRCCS, Rome, Italy
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Primary malignant melanoma of the penis: a case report. Med Oncol 2011; 29:1300-3. [DOI: 10.1007/s12032-011-9847-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2011] [Accepted: 01/26/2011] [Indexed: 10/18/2022]
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Tritton SM, Shumack S, Fischer G. Fatal delayed presentation of primary melanoma of the penis. Australas J Dermatol 2008; 49:239-41. [DOI: 10.1111/j.1440-0960.2008.00486.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Maeda Y, Ito F, Nakazawa H, Tomoe H, Aiba M, Tanabe K. Penile malignant melanoma in a hemodialysis patient. Int J Urol 2008; 15:741-3. [PMID: 18786196 DOI: 10.1111/j.1442-2042.2008.02084.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
A patient who was receiving hemodialysis treatment developed melanotic macules on the surface of the penis in 2002 and showed a tumor-like mass in the same region in July 2006. The patient presented with a pedunculated tumor of 3 cm in diameter on the right side of his penis. The tumor was resected for biopsy and was diagnosed as malignant melanoma. The melanoma was in stage IIIB with pT4 N1 M0. The patient received interferon-beta for a total of three courses. A computed tomography scan in the 10th postoperative month did not find any additional metastatic foci or recurrence of the tumor. In the present case, side effects caused by interferon were not observed. Therefore, particularly in dialysis patients, immune therapy might be favored over anticancer drug treatment.
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Affiliation(s)
- Yoshiko Maeda
- Department of Urology, Tokyo Women's Medical University, Aoyama Hospital, Tokyo, Japan.
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