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Published on: December 1, 2013
Penile metastasis from primary bladder tumour
María Esther Valsero Herguedas1, Alejandro Sanz Ruiz, Miguel Pascual Samaniego
1Urology Departmentand.Hospital Clinico Universitario. Valladolid.Spain.
Objective:
We present a case of cutaneous metastasis caused by a bladder tumor.
Methods:
68 year old male, diagnosed with an ISUP high grade urothelial carcinoma, affecting the whole bladder wall, including the perivesicular fat and macroscopic metastasis in the left ilio-obturator chain (T3N2MO), who presents painless induration on the dorsal surface of the glans penis with non-exudative ulcerated areas, evolving over several months. Given the negative serology result, the lesion was biopsied for anatomopathological study.
Results:
The histopathological study of the lesion corresponded to a cutaneous metastasis from high grade urothelial carcinoma.
Conclusion:
Approximately 370 cases of penile metastasis have been described and the primary tumor is located in the bladder in 30-35% of them. Presentation of these lesions is very heterogeneous and requires anatomopathological study of the lesion for definitive diagnosis.
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