阴茎恶性黑色素瘤1例报告并文献复习

摘要

Objective To discuss the diagnosis, management and prognosis of primary malignant melanoma of penis. Methods One case of primary malignant melanoma of penis treated in our hospital was reported and the literature was reviewed. Results The patient underwent radical penectomy and bilateral inguinal lymph node dissection. Histopathojogy examination revealed malignant melanoma with bilateral multiple inguinal nodal metastases. The patients had distant metastasis 3 months after surgery. Conclusions Primary malignant melanoma of penis is rare with poor prognosis. The diagnosis largely depends on histological examination and surgery is so far the first therapeutical choice.%目的 探讨阴茎原发恶性黑色素瘤的临床诊治及预后.方法 对本院1例阴茎原发恶性黑色素瘤的诊疗情况进行回顾性分析.结果 患者在本院行阴茎全切加双侧腹股沟淋巴结清扫术.病理证实阴茎浸润性恶性黑色素瘤伴双侧腹股沟多个淋巴结转移.患者术后3月复查时发现有远处转移.结论 阴茎原发恶性黑色素瘤临床罕见,确诊依靠病理及免疫组化,手术为主要的治疗手段,但总体预后不佳.