A Case Report and Review of the Literature of Penile Metastasis From Rectal Cancer

Frontiers in Surgery

article

Azuolas Kaminskas¹  Ausvydas Patasius²  Marius Kincius²  Virginijus Sapoka³  Rytis Zilevicius¹  Aušra Garnelytė⁴  Audrius Dulskas¹ 

[1] Department of Abdominal and General Surgery and Oncology, National Cancer Institute;Department of Oncourology, National Cancer Institute;Faculty of Medicine, Vilnius University;National Center of Pathology, Affiliate of Vilnius University Hospital Santaros Klinikos

关键词: penile metastasis;    rectal cancer;    corpus spongiosum;    case report;    literature review;   

DOI  :  10.3389/fsurg.2022.814832

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Metastatic involvement of the penis in cases of rectal cancer is exceptionally rare condition. Our clinical case report and review of the literature will contribute in complementing currently limited data on penile metastasis from rectal cancer. Case report We report a case of a 64-year-old male diagnosed with penile metastasis from rectal cancer. The patient was treated with neoadjuvant chemoradiotherapy followed by total mesorectal excision (TME). However, penile metastasis developed 3 years later, clinically presenting as penile pain and solid formations along the entire length of the penis with visible tumor in the head of the penis. The amputation of penis was performed, and adjuvant chemotherapy was prescribed. The patient survived only 6 months. Conclusion Penile metastasis from rectal cancer in most cases is a lethal pathology that indicates wide dissemination of oncological disease and has a very poor prognosis. Aggressive surgical treatment is doubtful in metastatic disease as this will negatively affect the quality of life.

【 授权许可】

CC BY