Primary urethral melanoma treated sucessfully with wide excision and combination immunotherapy: Case report and review of literature

We report the rare case of a primary malignant melanoma of the urethra. An 89-year-old African American woman who was referred to our urology clinic for intermittent gross hematuria and a palpable vaginal mass of two months duration. Cystoscopy revealed a 3 cm mass in the distal urethra and urethral...

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Main Authors: Mariela Martinez, Srinath Kotamarti, Ariel Schulman, Unni Mooppan, Jen Wang
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442021002758
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author Mariela Martinez
Srinath Kotamarti
Ariel Schulman
Unni Mooppan
Jen Wang
author_facet Mariela Martinez
Srinath Kotamarti
Ariel Schulman
Unni Mooppan
Jen Wang
author_sort Mariela Martinez
collection DOAJ
description We report the rare case of a primary malignant melanoma of the urethra. An 89-year-old African American woman who was referred to our urology clinic for intermittent gross hematuria and a palpable vaginal mass of two months duration. Cystoscopy revealed a 3 cm mass in the distal urethra and urethral meatus that was surgically resected by wide local excision. The histopathologic diagnosis was primary malignant melanoma of the urethra. The patient was subsequently treated with adjuvant EBRT and immunotherapy with nivolumab and ipilimumab. Post-treatment PET-CT showed good response to treatment and patient remained in remission at eight month follow up.
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spelling doaj.art-092b22a2f9104384801c426ed118feab2022-12-21T21:32:19ZengElsevierUrology Case Reports2214-44202022-01-0140101835Primary urethral melanoma treated sucessfully with wide excision and combination immunotherapy: Case report and review of literatureMariela Martinez0Srinath Kotamarti1Ariel Schulman2Unni Mooppan3Jen Wang4Division of Urology, Maimonides Research Center, Brooklyn, NY, USA; Corresponding author. 465 46th St Apt 6, Brooklyn, NY, 11220, USA.Division of Urology, Maimonides Research Center, Brooklyn, NY, USADivision of Urology, Maimonides Research Center, Brooklyn, NY, USADivision of Urology, Brookdale Hospital Medical Center, Brooklyn, NY, USADivision of Hematology/Oncology, Brookdale Hospital Medical Center, Brooklyn, NY, USAWe report the rare case of a primary malignant melanoma of the urethra. An 89-year-old African American woman who was referred to our urology clinic for intermittent gross hematuria and a palpable vaginal mass of two months duration. Cystoscopy revealed a 3 cm mass in the distal urethra and urethral meatus that was surgically resected by wide local excision. The histopathologic diagnosis was primary malignant melanoma of the urethra. The patient was subsequently treated with adjuvant EBRT and immunotherapy with nivolumab and ipilimumab. Post-treatment PET-CT showed good response to treatment and patient remained in remission at eight month follow up.http://www.sciencedirect.com/science/article/pii/S2214442021002758Malignant melanomaImmunotherapyOncologyUrethra
spellingShingle Mariela Martinez
Srinath Kotamarti
Ariel Schulman
Unni Mooppan
Jen Wang
Primary urethral melanoma treated sucessfully with wide excision and combination immunotherapy: Case report and review of literature
Urology Case Reports
Malignant melanoma
Immunotherapy
Oncology
Urethra
title Primary urethral melanoma treated sucessfully with wide excision and combination immunotherapy: Case report and review of literature
title_full Primary urethral melanoma treated sucessfully with wide excision and combination immunotherapy: Case report and review of literature
title_fullStr Primary urethral melanoma treated sucessfully with wide excision and combination immunotherapy: Case report and review of literature
title_full_unstemmed Primary urethral melanoma treated sucessfully with wide excision and combination immunotherapy: Case report and review of literature
title_short Primary urethral melanoma treated sucessfully with wide excision and combination immunotherapy: Case report and review of literature
title_sort primary urethral melanoma treated sucessfully with wide excision and combination immunotherapy case report and review of literature
topic Malignant melanoma
Immunotherapy
Oncology
Urethra
url http://www.sciencedirect.com/science/article/pii/S2214442021002758
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