患者,男,62岁,发现阴茎系带黑色肿物1年。否认阴茎系带处有黑痣。入院查体:阴茎腹侧系带处一约2.0cm×2.0cm大小肿物,肿物表面呈黑褐色伴少许渗出性分泌物。质地稍硬,左腹股沟触及多发肿大淋巴结,活动度差,无压痛,最大约3cm×3cm,其他全身浅表淋巴结未扪及。术前诊断为阴茎系带恶性黑色素瘤伴腹股沟淋巴结转移。在全麻下行阴茎部分切除术+左侧腹股沟淋巴结清扫术,术后病理证实为阴茎恶性黑色素瘤腹股沟淋巴结转 Patient, male, 62 years old, found penis lacertal black mass for 1 year. Denied penis at the mole. Admission examination: penile ventral lace at a 2.0cm × 2.0cm size of the tumor mass was dark brown with exudative secretions. Texture slightly harder, the left groin touches multiple swollen lymph nodes, poor activity, no tenderness, the largest about 3cm × 3cm, other systemic superficial lymph nodes not palpable. Preoperative diagnosis of penile laceration malignant melanoma with inguinal lymph node metastasis. Under general anesthesia penis partial resection + left inguinal lymph node dissection, postoperative pathology confirmed penile malignant melanoma inguinal lymph node transfer