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Penile metastasis from rectal carcinoma.
F Al-Mashat1, A Sibiany, S Rakha
1Department of Surgery, College of Medicine & Allied Sciences, King Abdul Aziz University, Jeddah, Kingdom of Saudi Arabia.
Saudi Medical Journal
|September 5, 2001
Summary
Metastatic penile cancer is rare, especially following rectal cancer surgery. This case highlights a late-stage diagnosis in a 65-year-old male, emphasizing the importance of vigilant follow-up for unusual cancer presentations.
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.