RESUMO
Metastatic penile carcinoma is rare and usually originates from genitourinary tumors. The presenting symptoms or signs have been described as nonspecific except for priapism. Rectal adenocarcinoma is a very unusual source of metastatic penile carcinoma. We report a case of metastatic penile carcinoma that originated from the rectum. Symptomatic improvement occurred with palliative radiotherapy.
Assuntos
Neoplasias Penianas/complicações , Neoplasias Penianas/secundário , Priapismo/etiologia , Adulto , Humanos , Masculino , Cuidados Paliativos , Neoplasias Penianas/diagnóstico , Priapismo/radioterapia , Neoplasias Retais/patologiaRESUMO
We are reporting the first case of priapism due to a sacrococcygeal chordoma metastasis treated with radiation therapy as palliative treatment.
Assuntos
Cordoma/secundário , Neoplasias Penianas/complicações , Neoplasias Penianas/secundário , Priapismo/etiologia , Priapismo/radioterapia , Neoplasias da Coluna Vertebral/patologia , Cordoma/radioterapia , Cordoma/cirurgia , Cóccix , Evolução Fatal , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Neoplasias Penianas/radioterapia , Sacro , Neoplasias da Coluna Vertebral/radioterapia , Neoplasias da Coluna Vertebral/cirurgiaRESUMO
The aim of this short communication is to present an extremely uncommon case of penile metastases from rectal adenocarcinoma treated with an external beam radiotherapy technique. A 76-year-old man affected by very painful priapism from penile metastases was treated with radiotherapy (30 Gy) for symptom relief. In the course of the radiotherapy treatment the patient reported gradual and continuous pain reduction. One month after the end of radiotherapy both the priapism and the pain had disappeared. Although the long-term prognosis remains poor, good quality of life was achieved in this patient.
Assuntos
Adenocarcinoma/radioterapia , Neoplasias Penianas/radioterapia , Priapismo/radioterapia , Neoplasias Retais/patologia , Adenocarcinoma/complicações , Adenocarcinoma/secundário , Idoso , Humanos , Masculino , Neoplasias Penianas/complicações , Neoplasias Penianas/secundário , Priapismo/etiologia , Qualidade de Vida , Resultado do TratamentoRESUMO
A case of metastatic malignant melanoma to the shaft of the penis is described and the literature reviewed to collate the incidence of primary sites which metastasize to the penis. Less than 260 cases of metastasis to the penis have been reported. Of these, 76% are from genitourinary primary sites and 17% are from gastrointestinal primary sites but only one case of metastatic melanoma to the penis has been previously reported. The described case presented with painful priapism while receiving combination chemotherapy for metastatic disease. A CT scan demonstrated a deposit in the left corpora cavernosa and needle aspiration cytology of a plaque attached to the shaft confirmed malignant melanoma cells. Palliation of the painful priapism was achieved by treatment with radiotherapy using large doses per fraction. Retrograde venous or lymphatic spread may have been the cause of a metastasis at this site. Prognosis is very poor.
Assuntos
Melanoma/secundário , Neoplasias Penianas/secundário , Neoplasias Cutâneas/patologia , Adulto , Humanos , Metástase Linfática , Masculino , Melanoma/complicações , Melanoma/patologia , Melanoma/radioterapia , Cuidados Paliativos , Neoplasias Penianas/complicações , Neoplasias Penianas/patologia , Neoplasias Penianas/radioterapia , Períneo , Priapismo/etiologia , Priapismo/radioterapia , Dosagem Radioterapêutica , Neoplasias Cutâneas/radioterapia , Coxa da PernaRESUMO
A 42-year-old man with priapism is reported. The condition did not improve by cavernous body irrigation with heparin, intravenous administration of anticoagulant, or various surgical shunt operations. However, the condition improved after local radiation therapy: a total dose of 6Gy, 1.5 Gy daily for 4 days, was given to a site 24 cm x 24 cm which covered the small pelvic cavity and the femoral area centering around the root of the penis. Improvement of the condition became evident from Day 3 of radiation therapy. For about 1 year since then the patient has been entirely free of recurrence.