PRAGUE MEDICAL REPORT
PRAGUE MEDICAL REPORT
Prague Medical Report is an English quarterly published multidisciplinary biomedical journal. Prague Medical Report was founded as Sborník lékařský in May 1885. The journal presents public primary scientific publications, short communications, casuistry, and reviews. It contains articles based on important specialised lectures and symposia.

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

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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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periodicity: 4 x per year
print price: 450 czk
ISSN: 1214-6994
E-ISSN: 2336-2936

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