Case Report: Penile malignant melanoma: insights from a three-case series and literature review on diagnosis and management - Scorecard - MDSpire

Case Report: Penile malignant melanoma: insights from a three-case series and literature review on diagnosis and management

  • By

  • Xiaoxiao Xu

  • Xiaolong Hou

  • Hongze Li

  • Yiming Chen

  • Bohao Jiang

  • Hao Zhang

  • July 17, 2026

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Clinical Scorecard: Case Series Analysis: Insights into Diagnosis and Management of Penile Malignant Melanoma from Three Cases and a Literature Review

At a Glance

CategoryDetail
ConditionPenile Malignant Melanoma
Key MechanismsAggressive mucosal melanoma with high mortality rates and late diagnosis.
Target PopulationMiddle-aged and older men.
Care SettingClinical management of rare malignancies.

Key Highlights

  • Penile melanoma accounts for less than 2% of all penile tumors.
  • Surgical treatment is the primary management option.
  • Adjuvant therapies include chemotherapy and radiotherapy.
  • Emerging treatments include immune checkpoint inhibitors and targeted therapies.
  • Personalized management strategies are essential.

Guideline-Based Recommendations

Diagnosis

  • Pathological diagnosis confirmed through histopathological examination.

Management

  • Surgical resection is the primary treatment, with options for local or partial penectomy.

Monitoring & Follow-up

  • Regular imaging and clinical follow-up are necessary to assess for recurrence.

Risks

  • High mortality rates associated with late diagnosis and disease progression.

Patient & Prescribing Data

Patients diagnosed with primary penile melanoma.

Chemotherapy may be used post-surgery, but treatment tolerance varies.

Clinical Best Practices

  • Ensure complete resection with negative margins during surgery.
  • Consider genetic testing for personalized treatment options.
  • Integrate systemic therapies based on emerging evidence.

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