Fatal delayed presentation of primary melanoma of the penis.
A 60-year-old man presented with a 3-week history of lethargy, anorexia, breathlessness at rest, nausea and vomiting. He had a 5-year history of an undisclosed, enlarging, pigmented mass on his penis. He refused biopsy of this lesion. Fine-needle aspirate of an enlarged inguinal lymph node histologically confirmed a diagnosis of melanoma and widespread metastases were demonstrated by radiological imaging. The patient succumbed to disease within 8 days of diagnosis. Primary penile melanoma, albeit rare, is an important and sensitive dermatological problem, often leading to delayed presentation.
Tritton
Sara M
SM
Dermatology Department, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. stritton@med.usyd.edu.au
Shumack
Stephen
S
Fischer
Gayle
G
D017809:Fatal Outcome; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008545:Melanoma / Q000175:diagnosis* / Q000556:secondary; D008875:Middle Aged; D010166:Palliative Care; D010412:Penile Neoplasms / Q000175:diagnosis*; D016312:Treatment Refusal