Fatal delayed presentation of primary melanoma of the penis
Fatal delayed presentation of primary melanoma of the penis
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DOI：
10.1111/j.1440-0960.2008.00486.x
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发表时间：
2008-11-01
影响因子：
2
通讯作者：
Fischer, Gayle
中科院分区：
文献类型：
--
作者：
Tritton, Sara M.;Shumack, Stephen;Fischer, Gayle
一名60岁的男子提出了3个星期的历史嗜睡，厌食，呼吸困难，在休息，恶心和呕吐。他的阴茎上有一个未公开的、增大的、色素沉着的肿块，已有5年的历史。他拒绝对该病变进行活检。细针抽吸的腹股沟淋巴结肿大经组织学证实诊断为黑色素瘤，放射成像证实广泛转移。患者在诊断后8天内死于疾病。原发性阴茎黑色素瘤，虽然罕见，是一个重要和敏感的皮肤病问题，往往导致延迟介绍。
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.