PRAGUE MEDICAL REPORT, Vol 125 No 3 (2024), 256–263
A Rare Case of Primary Vulval Amelanotic Melanoma Involving the Urethra
Manuela Montatore, Laura Eusebi, Federica Masino, Alessia Mariagrazia Costa, Willy Giannubilo, Elena Ferioli, Lucilla Diamanti, Giuseppe Guglielmi
DOI: https://doi.org/10.14712/23362936.2024.23
published online: 22. 08. 2024
abstract
A 60-year-old woman came to the Emergency Department complaining of a vaginal formation. The urologist suspected a urethral caruncle: the patient was discharged with vaginal oestrogen cream to relieve symptoms and a follow-up was suggested. After two months the patient returned to the Emergency Department since the mass was increasing in volume and complaining of dysuria and haematuria. Ultrasound, contrast-enhanced computed tomography, and contrast-enhanced magnetic resonance revealed a mass arising from the mucosa and involving the vulva and the urethra, suspicious of malignancy. We present a challenging diagnosis of an infiltrative and rapidly progressive primary vulval amelanotic melanoma with a complete imaging evaluation and a confirmed histological diagnosis.
keywords: Amelanotic melanoma; AM; PVAM; Amelanotic melanoma vulva; Vulval melanoma; Gynecologic tumor; Vulvar cancer; Diagnostic procedure; CT; MRI
A Rare Case of Primary Vulval Amelanotic Melanoma Involving the Urethra is licensed under a Creative Commons Attribution 4.0 International License.
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ISSN: 1214-6994
E-ISSN: 2336-2936