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[Priapism with malignant lymphoma: a case report].
H Asakura1, M Nakazono, T Masuda
1Department of Urology, Keio University School of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|October 1, 1989
Summary
This case report details a 66-year-old male with priapism caused by malignant lymphoma. Chemotherapy resolved the priapism but resulted in long-term impotence.
Area of Science:
- Oncology
- Urology
Background:
- Malignant lymphoma is a rare cause of priapism.
- Priapism, a persistent erection, can have various underlying causes.
Observation:
- A 66-year-old male presented with priapism and enlarged lymph nodes.
- Examination revealed prostate abnormalities and nodular lesions in the bladder.
- Pathology confirmed diffuse, large cell type malignant lymphoma, stage IV.
Findings:
- The patient received CHOP chemotherapy with bleomycin and methotrexate.
- Priapism resolved within 7 days of chemotherapy initiation.
- The patient experienced persistent impotence for over a year post-treatment.
Implications:
- This case highlights malignant lymphoma as a potential cause of priapism.
- Effective chemotherapy can resolve priapism but may lead to secondary sexual dysfunction.
- This is the first reported case of priapism due to malignant lymphoma in Japan.