Primary Malignant Melanoma of Female Urethra: A Case Report and Review of Literature

We report a very rare case report of female diagnosed with primary malignant melanoma. A 65 years old diabetic elderly postmenopausal femalepresented with a history of intermittent blood spots on undergarments forfew days. Genital examination revealed a single, tan colored, soft chestnut size and polypoidal non ulcerated mass lesion protruding through theurethral meatus. Mass biopsy revealed poorly differentiated epithelial malignancy and immuno-histological analysis revealed positive with HMB45 and protein S-100 suggestive of melanoma. Metastatic work up for themalignancy was negative. Complete urethrectomy with Mitrofanoff procedure with inguinal lymph node dissection was performed. Histopathological examination was suggestive of malignant melanoma of urethra.Here we discuss the clinicopathological features and management optionpossible in this scenario