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Penile metastasis of prostatic adenocarcinoma. Case report
Lorena Ortiz Sánchez1, Iván González Rodríguez, Miguel Angel Alonso Prieto
1Urology Department, Complejo Asistencia De Leon, Spain. yasmina248@hotmail.com
Objective:
Penile metastases are late manifestations of a primary tumor, and they are a sign of poor prognosis. We report a case of a rare presentation: penile metastases from prostate cancer.
Methods:
77 year-old male presented hematuria and acute urinary retention; on physical examination multiple hard lesions were detected. The patient underwent a Doppler ultrasound, subsequent penile and prostate biopsy, and staging study. Currently he is being treated with complete androgen blockade.
Results:
A histological study of the penile biopsy showed penile metastasis from prostate adenocarcinoma. The histological study of prostate biopsy confirmed Gleason 8 (4+4) adenocarcinoma.
Conclusions:
Despite of the different therapeutic alternatives for treatment of symptomatic penile metastases, it would be with palliative target; due to the median survival of these patients is less than a year.
