BACKGROUND: Penile metastases from primary bladder cancer are extremely rare. CASE REPORT: The medical records of 8 patients who presented with metastatic penile carcinoma originating from bladder between 2002 and 2010 were analyzed. The main complaint was a painless nodule (6 cases), priapism (1 case), and penile pain (1 case). All of the penile metastases were metachronous. The interval between primary cancer and penile metastases ranged from 1 to 100 months (mean 26.4 months). Total penectomy combined with systemic chemotherapy was the treatment of choice in 4 cases. 1 patient only accepted external beam radiotherapy, and 3 patients only accepted chemotherapy due to disseminated disease. The time interval between penile metastases and death ranged from 4 to 23 months (mean 11.4 months). CONCLUSION: Penile metastases secondary to primary bladder cancer are rare and represent a challenging problem. The common mode of spread to the penis is by retrograde venous route. The overall outcome is very poor, and most patients will die within 1 year despite systemic chemotherapy and supportive care. Radical ablative surgery is justified only for symptomatic relief.
BACKGROUND:Penile metastases from primary bladder cancer are extremely rare. CASE REPORT: The medical records of 8 patients who presented with metastatic penile carcinoma originating from bladder between 2002 and 2010 were analyzed. The main complaint was a painless nodule (6 cases), priapism (1 case), and penile pain (1 case). All of the penile metastases were metachronous. The interval between primary cancer and penile metastases ranged from 1 to 100 months (mean 26.4 months). Total penectomy combined with systemic chemotherapy was the treatment of choice in 4 cases. 1 patient only accepted external beam radiotherapy, and 3 patients only accepted chemotherapy due to disseminated disease. The time interval between penile metastases and death ranged from 4 to 23 months (mean 11.4 months). CONCLUSION:Penile metastases secondary to primary bladder cancer are rare and represent a challenging problem. The common mode of spread to the penis is by retrograde venous route. The overall outcome is very poor, and most patients will die within 1 year despite systemic chemotherapy and supportive care. Radical ablative surgery is justified only for symptomatic relief.
Authors: Ke Zhang; Jun Da; Hai-Jun Yao; Da-Chao Zheng; Zhi-Kang Cai; Yue-Qing Jiang; Ming-Xi Xu; Zhong Wang Journal: Medicine (Baltimore) Date: 2015-01 Impact factor: 1.889
Authors: Andrea Cocci; Oliver W Hakenberg; Tommaso Cai; Gabriella Nesi; Lorenzo Livi; Beatrice Detti; Andrea Minervini; Girolamo Morelli; Marco Carini; Sergio Serni; Mauro Gacci Journal: Oncotarget Date: 2017-12-18