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Primary Desmoplastic Melanoma of the Penis

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Primary Desmoplastic Melanoma of the Penis

Auteurs : Julia T. Chu [États-Unis] ; Michael A. Liss [États-Unis] ; William W. Wu [États-Unis] ; Atreya Dash [États-Unis] ; Di Lu [États-Unis]

Source :

RBID : PMC:4647020

Abstract

Desmoplastic melanomas are rare amelanotic melanomas that usually occur on skin with sun exposure. In this report, we present a 72-year-old man who presented with a desmoplastic melanoma of the penis. To our knowledge this represents the first reported case of primary desmoplastic melanoma of the penis. We discuss the pathologic differential and histologic evaluation.


Url:
DOI: 10.1155/2015/706572
PubMed: 26613063
PubMed Central: 4647020

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<p>Desmoplastic melanomas are rare amelanotic melanomas that usually occur on skin with sun exposure. In this report, we present a 72-year-old man who presented with a desmoplastic melanoma of the penis. To our knowledge this represents the first reported case of primary desmoplastic melanoma of the penis. We discuss the pathologic differential and histologic evaluation.</p>
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<name sortKey="Scolyer, R A" uniqKey="Scolyer R">R. A. Scolyer</name>
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<journal-id journal-id-type="nlm-ta">Case Rep Urol</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Urol</journal-id>
<journal-id journal-id-type="publisher-id">CRIU</journal-id>
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<issn pub-type="epub">2090-6978</issn>
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<publisher-name>Hindawi Publishing Corporation</publisher-name>
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<article-id pub-id-type="pmc">4647020</article-id>
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<subject>Case Report</subject>
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<title-group>
<article-title>Primary Desmoplastic Melanoma of the Penis</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Chu</surname>
<given-names>Julia T.</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liss</surname>
<given-names>Michael A.</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>William W.</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dash</surname>
<given-names>Atreya</given-names>
</name>
<xref ref-type="aff" rid="I4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lu</surname>
<given-names>Di</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Department of Pathology and Laboratory Medicine, University of California, Irvine, Orange, CA 92868, USA</aff>
<aff id="I2">
<sup>2</sup>
Department of Urology, University of Texas Health Science Center San Antonio, San Antonio, TX 78229, USA</aff>
<aff id="I3">
<sup>3</sup>
Department of Pathology, Weill Cornell Medical College and New York Presbyterian Hospital, New York, NY 10065, USA</aff>
<aff id="I4">
<sup>4</sup>
Department of Urology, University of Washington, Seattle, WA 98195, USA</aff>
<author-notes>
<corresp id="cor1">*Di Lu:
<email>lud5@uci.edu</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Francesco M. Solivetti</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>3</day>
<month>11</month>
<year>2015</year>
</pub-date>
<volume>2015</volume>
<elocation-id>706572</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>7</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>21</day>
<month>10</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2015 Julia T. Chu et al.</copyright-statement>
<copyright-year>2015</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Desmoplastic melanomas are rare amelanotic melanomas that usually occur on skin with sun exposure. In this report, we present a 72-year-old man who presented with a desmoplastic melanoma of the penis. To our knowledge this represents the first reported case of primary desmoplastic melanoma of the penis. We discuss the pathologic differential and histologic evaluation.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Glans of penis at penectomy. Gross examination shows scattered, flat, dark-brown discoloration mostly on the glans dorsal surface (black arrow) and ill-defined firmness of the entire glans. Cross sectioning (picture in picture) locates the firmness of glans to an indistinct, white, ulcer-free tumor measuring approximately 1.5 × 1.3 cm on cut surface. The tumor (black arrowheads) has invaded into and through the urethra (white arrowheads: urethral opening and margin; single black arrow: tumor invasion).</p>
</caption>
<graphic xlink:href="CRIU2015-706572.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Histologic features of primary penile desmoplastic melanoma. Low-power photomicrograph of the penile glans depicts haphazardly arranged spindle tumor cells permeating in between collagen bundles and deeply infiltrating the dermis and corpus spongiosum within. In intimate association with the spindle tumor cells are focal atypical intraepidermal melanocytic proliferation and pseudoepitheliomatous hyperplasia in the overlying epidermis (left half of the H&E). S-100 is strongly positive in the spindle tumor cells (small photo).</p>
</caption>
<graphic xlink:href="CRIU2015-706572.002"></graphic>
</fig>
</floats-group>
</pmc>
</record>

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