Primary Malignant Melanoma of the Genitourinary Tract with Upper and Lower Tracts Involvement

A 91-year-old female presented with lower extremity swelling and shortness of breath. Laboratory analysis revealed elevations in blood urea nitrogen and creatinine along with microscopic hematuria on urinalysis. Computed tomography imaging showed moderate right hydronephrosis with dilatation of the...

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Main Authors: Broderick Sutton, Robert Chan, Mark Sutton, Timothy Boone
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2013/217254
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author Broderick Sutton
Robert Chan
Mark Sutton
Timothy Boone
author_facet Broderick Sutton
Robert Chan
Mark Sutton
Timothy Boone
author_sort Broderick Sutton
collection DOAJ
description A 91-year-old female presented with lower extremity swelling and shortness of breath. Laboratory analysis revealed elevations in blood urea nitrogen and creatinine along with microscopic hematuria on urinalysis. Computed tomography imaging showed moderate right hydronephrosis with dilatation of the proximal ureter with a soft tissue density at a transition point. Endoscopic evaluation revealed multiple raised, fleshy, and hemorrhagic masses throughout the bladder which are present in both ureters. Biopsy of these lesions revealed malignant melanoma invading the lamina propria. No dermatologic lesions were identified suggesting a primary malignant melanoma of the genitourinary system.
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spelling doaj-art-4ccbdd798afc40daa97df575de799f262025-02-03T01:24:35ZengWileyCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/217254217254Primary Malignant Melanoma of the Genitourinary Tract with Upper and Lower Tracts InvolvementBroderick Sutton0Robert Chan1Mark Sutton2Timothy Boone3Department of Urology, The Methodist Hospital, Houston, TX 77030, USADepartment of Urology, The Methodist Hospital, Houston, TX 77030, USAScott Department of Urology, Baylor College of Medicine, Houston, TX 77030, USADepartment of Urology, The Methodist Hospital, Houston, TX 77030, USAA 91-year-old female presented with lower extremity swelling and shortness of breath. Laboratory analysis revealed elevations in blood urea nitrogen and creatinine along with microscopic hematuria on urinalysis. Computed tomography imaging showed moderate right hydronephrosis with dilatation of the proximal ureter with a soft tissue density at a transition point. Endoscopic evaluation revealed multiple raised, fleshy, and hemorrhagic masses throughout the bladder which are present in both ureters. Biopsy of these lesions revealed malignant melanoma invading the lamina propria. No dermatologic lesions were identified suggesting a primary malignant melanoma of the genitourinary system.http://dx.doi.org/10.1155/2013/217254
spellingShingle Broderick Sutton
Robert Chan
Mark Sutton
Timothy Boone
Primary Malignant Melanoma of the Genitourinary Tract with Upper and Lower Tracts Involvement
Case Reports in Urology
title Primary Malignant Melanoma of the Genitourinary Tract with Upper and Lower Tracts Involvement
title_full Primary Malignant Melanoma of the Genitourinary Tract with Upper and Lower Tracts Involvement
title_fullStr Primary Malignant Melanoma of the Genitourinary Tract with Upper and Lower Tracts Involvement
title_full_unstemmed Primary Malignant Melanoma of the Genitourinary Tract with Upper and Lower Tracts Involvement
title_short Primary Malignant Melanoma of the Genitourinary Tract with Upper and Lower Tracts Involvement
title_sort primary malignant melanoma of the genitourinary tract with upper and lower tracts involvement
url http://dx.doi.org/10.1155/2013/217254
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