TITLE:
Primary Melanoma of the Female Urethra: About One Case
AUTHORS:
Armel Quentin Essomba, Frantz Epoupa Ngalle, Jean Cedric Fouda, Akade Nfor-Budi Nli, Philip Fernandez Owon’Abessolo, Stephane Ebongue Njoume, Bright Awah Awondo-Che, Herve Moby Mpah
KEYWORDS:
Malignant Melanoma, Female, Urethra
JOURNAL NAME:
Open Journal of Urology,
Vol.15 No.4,
April
25,
2025
ABSTRACT: Melanomas of the urinary tract are rare aggressive cancers, often with very poor prognoses. We report a case of primary melanoma of the female urethra in a 69-year-old female farmer who was referred for the management of a vulvar mass associated with dysuria and urinary frequency. Clinical examination revealed a blackish mass measuring approximately 4 cm at the distal end of the urethra, mobile with necrotic and purulent plaques, bleeding on contact. The anterior vaginal wall was not involved. Diagnostic cystoscopy showed mild bladder trabeculations. A CT scan of the thorax, abdomen and pelvis did not reveal any distant metastases. The mass was resected after a straightforward procedure. The diagnosis was established after a histopathology report. We discuss this case as we review the literature relevant to the case.