Palpable lesions in the penis in a patient treated for prostate carcinoma
Diagnosis Penile metastases of a prostate carcinoma.
Metastasis to the penis is rare, despite rich vascularization and complex circulation.
The most common symptoms are penile induration and swelling. Treatments, all of which must be considered merely palliative, consist of local tumor excision, radiation therapy, cytostatic and hormone therapy, possibly with partial or total penis amputation.
In this case the patient already had a suprapubic catheter. He also had bone metastases. Treatment was started with hormone therapy. Unfortunately the effects of the treatment were poor. The overall prognosis of patients with penis metastasis is poor.
References
Osther PJ, Løntoft E. Metastasis to the penis. Case reports and review of the literature.Int Urol Nephrol. 1991;23(2):161-7
Nakayama F, Sheth S, Caskey CI, Hamper UM. Penile metastasis from prostate cancer: diagnosis with sonography.
J Ultrasound Med. 1997 Nov;16(11):751-3.
Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.
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