Primary Melanoma of the Female Urethra: About One Case
- 1 Department of Surgery and Specialties, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
- 2 Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences University of Yaoundé 1, Yaoundé, Cameroon
- 3 Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences University of Yaoundé 1, Yaoundé, Cameroon
- 4 Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences University of Yaoundé 1, Yaoundé, Cameroon
- 5 Department of Surgery and Specialties, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
- 6 Urology Service, Yaoundé Central Hospital, Yaoundé, Cameroon
- 7 Urology Service, Yaoundé Central Hospital, Yaoundé, Cameroon
- 8 Department of Surgery and Specialties, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
Abstract
Melanomas of the urinary tract are rare aggressive cancers, often with very poor prognoses. We report a case of primary melanoma of the female urethra in a 69-year-old female farmer who was referred for the management of a vulvar mass associated with dysuria and urinary frequency. Clinical examination revealed a blackish mass measuring approximately 4 cm at the distal end of the urethra, mobile with necrotic and purulent plaques, bleeding on contact. The anterior vaginal wall was not involved. Diagnostic cystoscopy showed mild bladder trabeculations. A CT scan of the thorax, abdomen and pelvis did not reveal any distant metastases. The mass was resected after a straightforward procedure. The diagnosis was established after a histopathology report. We discuss this case as we review the literature relevant to the case.
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