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

doi:10.1016/j.eucr.2023.102344

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

Urol Case Rep. 2023 Feb 1:47:102344. doi: 10.1016/j.eucr.2023.102344. eCollection 2023 Mar.

Authors

Afonso Castro¹, André Lacerda², Miguel Fernandes¹, Tiago Ribeiro Oliveira¹, José Palma Dos Reis¹

Affiliations

¹ Urology Department, Centro Hospitalar e Universitário de Lisboa Norte, Lisboa, Portugal.
² Plastic and Reconstructive Surgery Department, Centro Hospitalar e Universitário de Lisboa Norte, Lisboa, Portugal.

Abstract

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.

Keywords: Melanoma; Penile cancer; Reconstructive surgery; Urologic cancer.

Publication types

Case Reports