penile melanoma????

[leteo_23]

Hi, for the past two years, almost certain, I have had this brown splotch in the urethral opening of my penis. I also have a dark discoloration in the basis of the prepuce. I am circumcised since you and have generally good hygiene. I havent had sexual relations and I'm 21. My question is, could this be melanoma? I am getting a bit scared, I got tested for infections and they were negative. Also, I have had some trauma in the glans before, so could that be the cause? could this eventually lead to cancer?

thank you, please respond as soon as possible

[Dr J Singh]

Hello,
Melanocytic macule cannot turn into a melanoma. But if it is a mole, then an eye has to be kept on this. If you notice changes in the mole's/mark’s color, height, size or shape, you should have a dermatologist evaluate it. You also should have it checked if it bleeds, oozes, itches, appear scaly, or become tender or painful. Otherwise it should be left as such.

I sincerely hope that helps. Take care.

[leteo_23]

Hi,
Thank you for your help. I will go and see the dermatologist, however, I would like to know if this hyper-pigmentation may become over time penile melanoma, if untreated. Is that possible? or is it a common condition? Thank you for your response!

[Bhupinder Kaur, MD]

Hello,
From the symptoms it can be post inflammatory hyperpigmentation after the penile injury or a melanocytic macule. It is a small, sharply circumscribed, pigmented macule surrounded by normal-appearing skin.
Cryosurgery using liquid nitrogen and laser are the main treatment modalities. I would recommend a dermatologist’s consultation for this.
Hope it helps. Take care and regards.