Metastases to the penis from carcinoma of the prostate

A 58‐year‐old man presented with dysuria at the Osaka Medical College Hospital in November 1996. Laboratory examination revealed elevated serum prostate‐specific antigen (PSA) to > 100 ng/mL. Adenocarcinoma of the prostate with metastasis to the bone was diagnosed after a biopsy of the prostate a...

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Bibliographic Details
Published in:International journal of urology 2001-02, Vol.8 (2), p.83-86
Main Authors: Kotake, Yatsugu, Gohji, Kazuo, Suzuki, Toshiaki, Watsuji, Toshikazu, Kusaka, Mamoru, Takahara, Kenn, Ubai, Takanobu, Noumi, Hayahito, Inamoto, Teruo, Shibahara, Nobuhisa, Ueda, Haruhiko, Katsuoka, Yoji
Format: Article
Language:English
Subjects:
Adenocarcinoma - secondary
Humans
Male
metastasis
Middle Aged
Penile Neoplasms - secondary
penis
prostate cancer
Prostatic Neoplasms - pathology
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Summary:A 58‐year‐old man presented with dysuria at the Osaka Medical College Hospital in November 1996. Laboratory examination revealed elevated serum prostate‐specific antigen (PSA) to > 100 ng/mL. Adenocarcinoma of the prostate with metastasis to the bone was diagnosed after a biopsy of the prostate and bone scintigraphy; hormonal therapy was administered. Although bone metastasis was well controlled and the serum PSA level declined to within normal levels (2.0 ng/mL), several painless nodules were found on the penile glans. Biopsy of the nodules showed that the penile tumor was a metastasis from the prostate cancer. The patient underwent partial penectomy for relief from penile pain. The serum PSA level showed no elevation 3 months after the partial penectomy, suggesting that careful observation of prostate cancer patients is necessary, even when oseous metastasis is well controlled and serum PSA levels are kept within normal ranges by hormonal therapy. The case also indicates that urologists should consider the possibility of metastasis to the penis from prostate cancer.
ISSN:0919-8172
1442-2042
DOI:10.1046/j.1442-2042.2001.00245.x