Penile metastases

Metachronous metastasis to the penis from carcinoma of the rectum

Metastases to the penis are a rare event with most arising from pelvic organs, but occasionally the kidneys. Furthermore, very few cases exist where primary rectal carcinoma metastasising to the penis has been reported. We report on such a case and discuss the general management of penile metastases.

[Penile metastasis of renal cell carcinoma]

The tumour dissemination to penis from renal cell carcinoma is a rare occurrence; generally, it is seen in advanced stages of the disease, such that occurred in our patient that indicated a poor prognosis. A lesion node, high, painless, the size middle, located in the side right to penis, at long term free of symptoms associated was found. The histological examination of the specimen after cold biopsy demonstrated a metastasis from renal carcinoma.

Cancer metastatic to the penis: treatment with hyperthermia and radiation therapy and review of the literature

Metastatic cancer to the penis is rare, its optimum treatment remains poorly defined and the outcome of patients with such metastases is poor. Hyperthermia in conjunction with radiation therapy has been shown to be an effective modality in the treatment of locally advanced or recurrent cancer and hyperthermia alone is under evaluation in treating benign disorders, such as hypertrophy of the prostate. Recently, 4 patients with symptomatic metastatic lesions to the penis (3 had primary prostatic cancer and 1 had rectal cancer) were treated with radiation therapy and hyperthermia. Treatment was well tolerated except for pain during hyperthermia, which limited the temperatures that could be obtained. All of the patients improved symptomatically, 1 achieved a complete response and 2 had partial responses. No significant complications were noted. Symptomatic control was maintained in all patients for the duration of their survival. This limited series suggests the possible role of local hyperthermia as an adjunct to radiation therapy in the treatment of metastases to the penis.