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.
Dermatology Department, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. stritton@med.usyd.edu.au
Sara M
SM
Tritton
Stephen
S
Shumack
Gayle
G
Fischer
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