Boui Meriem, Hammoune Nabil, Slioui Badr, Zouaki Zakaria, Atmane Mehdi, Mouhsine Abdelilah, Haouane Mohamed Amine, Azami Mohamed Amine, Kaakoua Mohamed, Assadi Ismail, Boui Mohammed, Bouhamidi Ahmed
Department of Radiology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco.
Department of Anatomopathology, Avicenne Military Hospital, Cadi Ayyad University, Marrakech, Morocco.
JMIR Dermatol. 2022 Sep 27;5(3):e37400. doi: 10.2196/37400.
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.
阴茎黑色素瘤是一种罕见的肿瘤，预后较差。我们报告一例73岁患者，无重大病史，因全身状况恶化及双侧腹股沟淋巴结肿大入院。腹部超声和胸腹部盆腔CT扫描显示肝脏有转移性结节，经解剖病理学检查证实其肿瘤性质。进一步临床检查发现阴茎尿道口和龟头有丘疹及溃疡病变。对这些病变进行活检并经组织学评估为黑色素瘤。影像学检查对阴茎肿瘤的诊断一般没有帮助，因为临床检查是关键。然而，它在评估局部和远处转移方面有其作用。在我们的病例中，是远处病变有助于明确诊断。该患者接受了免疫治疗，诊断后19个月仍然存活。
