title: Malignant melanoma revealed by testicular metastasi.
abstract: We report the case of an 83 years old man supported for painless indurated and nodular lesion of the left testicle. Histological analysis identified a primary cutaneous melanoma metastasis although it has never been found on physical examination. The discovery of a testicular mass should suggest first a germ cell tumor, despite in some populations (age over 60 years), other diagnosis are more frequent, including metastasis. Due to rapid disease progression and high mortality rate within a short interval, a complete staging looking for other secondary locations must be done and a multidisciplinary care and palliative involvement must also be initiated in the context of metastatic melanoma.
authors.affiliation: Department of Urology, Hôpitald'Instruction des Armées Val-de-Grâce, 74 boulevard de Port Royal, 75005 Paris, France. Electronic address: marie.dusaud@gmail.fr.
authors.forename: Marie
authors.initials: M
authors.lastname: Dusaud
authors.affiliation: Department of Plastic and reconstructive surgery, HôpitalEuropéen George Pompidou, 20 rue Leblanc, 75015 Paris, France. Electronic address: docteur.adjadj@gmail.com.
authors.forename: Lucille
authors.initials: L
authors.lastname: Adjadj
authors.affiliation: Department of maxillo-facial surgery, Hôpital Saint Louis, 1 avenue Claude Vellefaux, 75010 Paris, France. Electronic address: alexandre.debelmas@hotmail.fr.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Debelmas
authors.affiliation: Department of Pathology, Hôpitald'Instruction des ArméesBégin, 69 avenue de Paris, 94160 Saint-Mandé, France. Electronic address: jsouraud@hotmail.com.
authors.forename: Jean Baptiste
authors.initials: JB
authors.lastname: Souraud
authors.affiliation: Department of Urology, Hôpitald'Instruction des Armées Val-de-Grâce, 74 boulevard de Port Royal, 75005 Paris, France. Electronic address: xavier.durand.urovdg@orange.fr.
authors.forename: Xavier
authors.initials: X
authors.lastname: Durand
keywords: Elderly; Melanoma; Metastasis; Testicular tumor