Case Report

Balloon Cell Urethral Melanoma: Differential Diagnosis and Management

Table 1

Balloon cell melanoma literature review with focus on treatment/outcome.

AuthorYear Article typeNumber of patientsTreatment OutcomeComments

Bal et al. [9]2013Case report1 (anal, primary)Standard<20% 5-year survival

Richardson et al. [14]2012Case report1 (brain, secondary)Chemo and surgery provide best outlook

Lee et al. [12]2011Case report/lit. review1StandardPrognosis of BCMM does not depend on the degree of balloon cell change, tumor size, nuclear atypia, or mitotic activity

Kao et al. [11]1992Cohort study34Standard57.5% died at 2–12 years from metastasis. 18.2% developed local recurrences: 15.2% alive with metastatic tumours 21.2% alive without evidence of diseasePrognosis of BCMM usually correlates with the tumour thickness

Peters and Su [15]1985Case report/lit. review1StandardMany balloon cell melanomas show only mild cellular atypia and minimal mitotic figures although the tumour has a malignant course.

Fievez [16]1984Lit. reviewUnknownUnknown6.3-year median survival

Jakobiec et al. [13]1979Case series2 (ciliary body)UnknownAbundant number of balloon cells probably comparatively dormant and benign tumours