Open AccessFemale Urethral Malignant Melanoma With Vesical Invasion: A Case Report
Author(s) -
Akbas Alpaslan,
Akman Tolga,
Erdem Mehmet Remzi,
Antar Baran,
Kilicaslan Isin,
Onol Sinasi Yavuz
Publication year - 2010
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(10)70014-0
Subject(s) - medicine , melanoma , urethra , lymphadenectomy , magnetic resonance imaging , radiology , surgery , pathology , cancer research , lymph node
We report a 75‐year‐old female with a primary urethral malignant melanoma. A mass protruding from inside the urethra was detected on physical examination. Abdominopelvic magnetic resonance imaging revealed a mass extending from the urethra with dimensions of 4 × 2 cm, and periurethral heterogenous fatty planes consistent with infiltration. The histopathologic examination was consistent with HMB45(+) malignant melanoma. We performed cystourethrectomy and bilateral inguinal and pelvic lymphadenectomy in one session. The pathology report revealed primary malignant melanoma of the urethra invading the inferior bladder wall. The patient received no adjuvant therapy because of cardiopulmonary morbidities and the presence of multiple pulmonary metastases. The patient eventually died 13 months after surgery.