Open AccessMelanoma in situ of penis
Author(s) -
R. Baraziol,
Maurizio Schiavon,
E. Fraccalanza,
Gioacchino De Giorgi
Publication year - 2017
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000007652
Subject(s) - medicine , penis , in situ , dermatology , anatomy , meteorology , physics
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.