Prague Med. Rep. 2024, 125, 256-263
A Rare Case of Primary Vulval Amelanotic Melanoma Involving the Urethra
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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Copyright
This is an open-access article distributed under the terms of the Creative Commons Attribution License.
