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Metastasis of rectal adenocarcinoma to the penis
Ramin Hajianfar1, Marta Muniesa, Esther Gomez
1Servicio de Urologia Y Cirugia General. Seccion Coloproctologia. Consorci Sanitari Integral. Hospital General de l'Hospitale de Llobregat.Barcelona.Spain.
Objective:
To report a clinical case of penile metastasis of a rectal adenocarcinoma.
Methods:
We report the case of a 78-year-old male with a clinical history of rectum adenocarcinoma. The management included an anterior rectum-resection and postoperative combination of neoadjuvant chemo and radiotherapy. Eight months after the operation, a painful solitary nodular lesion on the glans penis was diagnosed. We performed a needle biopsy (Tru-cut).
Results:
Histological examination confirmed metastasis of the rectal tumour. We performed partial penectomy.
Conclusions:
The incidence of penile metastasis is extremely low. In a large number of cases the primary tumour is localized in the genito-urinary tract, less likley they originate from other organs. The treatment, depending to each case, is mostly palliative due to the poor prognosis of disease.
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