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Case Reports in Urology
Volume 2013 (2013), Article ID 217254, 2 pages
http://dx.doi.org/10.1155/2013/217254
Case Report

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

1Department of Urology, The Methodist Hospital, Houston, TX 77030, USA
2Scott Department of Urology, Baylor College of Medicine, Houston, TX 77030, USA

Received 1 July 2013; Accepted 27 July 2013

Academic Editors: J. P. Gearhart, C. Liao, and M. Sheikh

Copyright © 2013 Broderick Sutton et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.