Penile metastasis from rectal carcinoma

Area of Science:

• Urology
• Oncology
• Pathology

Background:

• Rectal cancer (Duke A) treated with abdomino-perineal resection.
• A 65-year-old male patient presented with unusual metastatic symptoms.

Observation:

• Metastatic carcinoma of the penis discovered 19 months post-rectal surgery.
• Metastases were also noted in the perineum and a rib.
• Penile biopsy and cavernosography confirmed metastatic disease.

Findings:

• The patient declined further treatment after diagnosis.
• The patient survived for 5 months post-diagnosis.

Implications:

• This case underscores the rare possibility of penile metastasis from rectal cancer.
• Highlights the diagnostic challenges and poor prognosis associated with metastatic penile carcinoma.
• Suggests the need for comprehensive evaluation in patients with unexplained metastatic lesions.