Penile metastasis from invasive bladder cancer

Area of Science:

• Urology
• Oncology
• Surgical Pathology

Background:

• Bladder cancer can rarely metastasize to the penis.
• Penile metastasis from bladder cancer is an uncommon presentation.

Observation:

• A 68-year-old male presented with invasive bladder cancer metastatic to the penile shaft and pelvic lymph nodes.
• The patient underwent radical cystoprostatectomy, total penectomy, and adjuvant chemotherapy.

Findings:

• The patient achieved complete remission 10 months post-surgery.
• This case highlights a rare but potentially manageable late-stage presentation of bladder cancer.

Implications:

• While penile metastases often necessitate palliative care, aggressive surgical management (including penectomy) combined with chemotherapy may improve survival in select cases.
• This approach offers a potential survival benefit for patients with secondary penile tumors.
• Further research into optimal treatment strategies for penile metastases is warranted.