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

To characterize the clinical features of penile melanoma and summarize treatment options through case reports and a literature review.

Approach:
  • Case Presentation: Three cases of primary penile melanoma were presented, detailing clinical management and outcomes, including surgical interventions and patient prognoses.
  • Literature Review: Analysis of 27 additional reported cases of penile melanoma to identify common characteristics and treatment approaches, focusing on demographics and clinical presentations.
Key Findings:
  • Penile melanoma is rare, accounting for less than 2% of penile tumors and less than 0.1% of all melanomas.
  • Typical manifestations include pigmented patches or nodules on the glans or foreskin.
  • Surgical treatment is the primary option, with adjuvant therapies like chemotherapy and radiotherapy used to prevent recurrence.
Interpretation:

Penile melanoma requires personalized management strategies, emphasizing the need for complete resection and consideration of systemic therapies.

Limitations:
  • Lack of established clinical guidelines for the management of penile melanoma limits treatment standardization.
  • The limited number of cases reported in literature hinders the establishment of standardized protocols.
Conclusion:

Further case reports and clinical research are essential to establish standardized protocols for the management of penile melanoma.

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