RESUMO
Renal cell carcinoma can metastasize to any region of the body. We review a patient who presents fourteen years after initial resection of the primary tumor with distant metastatic disease. This included spread to the bladder and penis that manifested as frank haematuria and malignant priapism respectively. We discuss the mechanism of spread and the management options available
Assuntos
Humanos , Masculino , Metástase Neoplásica , Neoplasias Penianas/secundário , Neoplasias da Bexiga Urinária/secundário , Priapismo , Hematúria/etiologia , Neoplasias Primárias MúltiplasRESUMO
Background The surgical management of patients with symptomatic metastatic or locally advanced recurrences involving the penis remains poorly characterized. The aim of the present abstract and video is to detail our experience in the surgical management of a specific patient with a locally advanced symptomatic recurrence of penile sarcoma secondary to prostate cancer treated with primary brachytherapy. Materials and Methods A 70 year old male patient initially treated for localized prostate cancer with interstitial brachytherapy at an outside facility developed an unfortunate secondary malignancy consisting of a locally advanced penile sarcoma involving as well the prostate and base of the bladder. Despite our best efforts to control his pain, he developed a very symptomatic local recurrence with a secondary penile abscess and purulent periurethral drainage. At this time, it was felt a surgical resection consisting of a total penectomy, urethrectomy, cystoprostatectomy, and ileal conduit urinary diversion would be the best option for local cancer control in this particular patient. Results The patient underwent the surgical resection without any complications as illustrated in this surgical video, with a jejunal intestinal mass identified at the time of surgery which was resected with a primary bowel anastomosis performed. The patient was discharged from hospital uneventfully with his symptomatic local recurrence being successfully managed and the patient no longer requiring oral narcotics for pain control. The pathological report confirmed a locally advanced sarcoma involving the penile, prostate, and bladder which was resected with negative surgical margins and the jejunal mass was confirmed to represent a small bowel sarcoma metastatic site. Conclusion As highlighted in the present video, the treatment of a symptomatic sarcoma local recurrence contiguously involving the penis can be successfully managed provided the patient ...
Assuntos
Idoso , Humanos , Masculino , Recidiva Local de Neoplasia/cirurgia , Segunda Neoplasia Primária/cirurgia , Neoplasias Penianas/cirurgia , Neoplasias da Próstata/radioterapia , Sarcoma/cirurgia , Braquiterapia , Neoplasias Penianas/secundário , Sarcoma/secundário , Resultado do TratamentoAssuntos
Adulto , Neoplasias Ósseas/complicações , Neoplasias Ósseas/patologia , Neoplasias Ósseas/cirurgia , Terapia Combinada , Humanos , Masculino , Osteossarcoma/complicações , Osteossarcoma/patologia , Osteossarcoma/cirurgia , Neoplasias Penianas/etiologia , Neoplasias Penianas/secundário , Neoplasias Penianas/terapia , Priapismo/etiologia , Priapismo/terapia , Resultado do TratamentoRESUMO
Penile metastases are infrequent and often originate from genitor-urinary organs including bladder and prostate. In the present communication, we report an unusual case of penile metastasis from rectal adenocarcinoma. Though uncommon, this presentation is not unknown. A review of literature of penile metastases in colorectal cancers is also summarized here.
Assuntos
Adenocarcinoma/patologia , Idoso , Humanos , Masculino , Neoplasias Penianas/secundário , Neoplasias Retais/patologiaRESUMO
Metastic carcinoma of the penis is uncommon. The primary tumour is most commonly reported to be in the genitourinary or gastrointestinal tract. A case of metastatic carcinoma of the penis, secondary to a primary carcinoma of the prostate gland, is described
Assuntos
Idoso , Humanos , Masculino , Neoplasias Penianas/secundário , Neoplasias da Próstata/patologia , Adenocarcinoma/patologia , PrognósticoRESUMO
Three rare cases of urethral metastases from prostatic carcinoma are reported. Mechanism of metastasis, diagnosis and treatment are discussed.
Assuntos
Adenocarcinoma/patologia , Idoso , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Penianas/secundário , Neoplasias da Próstata/patologia , Neoplasias Uretrais/secundárioRESUMO
Os autores relatam um caso de adenocarcinoma prostático com metástase para os corpos cavernosos. Trata-se de um achado relativamente raro, sendo este o 77§ caso descrito na literatura
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Penianas/patologia , Neoplasias Penianas/secundário , Neoplasias da Próstata/patologia , Brasil , Adenocarcinoma/patologia , Adenocarcinoma/secundárioRESUMO
Paciente com adenocarcinoma prostático apresentou-se com priapismo e metástase tumoral na glande. Foi tratado através de orquiectomia e evoluiu para o óbito
Assuntos
Idoso , Humanos , Masculino , Adenocarcinoma/secundário , Neoplasias da Próstata , Neoplasias Penianas/secundário , Adenocarcinoma/patologiaRESUMO
Se presenta un paciente de 39 años con metástasis peniana de adenocarcinoma colorrectal. Se recalca la infrecuencia de tumores secundarios en pene pese a su rica irrigación y conexiones con órganos adyacentes, como así también la rareza de su origen colónico, y la importancia de la utilización de técnica de inmunoperoxidasas para la determinación del antígeno carcino-embrionario tisular