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Izzo P, Izzo L, Lai S, D’Onghia G, Giancontieri P, Gabriele R, Polistena A, Sibio S, Costanzo ML, De Intinis C, Izzo S. Nodular cutaneous metastasis of the leg in advanced urothelial bladder carcinoma: a case report and systematic literature review. Front Oncol 2023; 13:1216725. [PMID: 37675233 PMCID: PMC10477776 DOI: 10.3389/fonc.2023.1216725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 08/02/2023] [Indexed: 09/08/2023] Open
Abstract
Cutaneous metastases from urothelial carcinoma (UC) are very rare and indicate advanced disease with a poor prognosis. A 63-year-old female patient with a history of urothelial bladder carcinoma, treated 2 months prior with radical cystectomy and adjuvant gemcitabine and cisplatin (GC) therapy, presented a skin lesion localized in the lower third of the right leg. Punch biopsy revealed carcinomatous metastasis whose urothelial origin was confirmed by immunohistochemical analysis. 18-FDG PET-CT showed the spread of metastases to the lung and left ischium. Our review focuses on the time between surgery and skin metastasis, localization, and prognosis after metastasis diagnosis. In many cases, skin metastases occur within one year of initial UC surgery and in most cases occur on the abdominal wall. Local wide excision of metastasis should be considered in selected cases; however, chemotherapy remains the main treatment.
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Affiliation(s)
- Paolo Izzo
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Luciano Izzo
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Silvia Lai
- Department of Translational and Precision Medicine, Nephrology Unit, Sapienza University of Rome, Rome, Italy
| | - Giuliano D’Onghia
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Paola Giancontieri
- Department of Radiological, Oncological and Anatomo-Pathological Sciences, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Raimondo Gabriele
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Andrea Polistena
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Simone Sibio
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Maria Ludovica Costanzo
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Claudia De Intinis
- “Pietro Valdoni” Department of Surgery, Policlinico “Umberto I”, “Sapienza” University of Rome, Rome, Italy
| | - Sara Izzo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania “Luigi Vanvitelli”, Piazza Luigi Miraglia, Naples, Italy
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Xing DT, Yilmaz H, Hettige S, Hegde R, Nair R. Successful Treatment of Malignant Priapism by Radiotherapy: Report of a Case, Review of the Literature, and Treatment Recommendations. Cureus 2021; 13:e17287. [PMID: 34552828 PMCID: PMC8448578 DOI: 10.7759/cureus.17287] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/18/2021] [Indexed: 12/18/2022] Open
Abstract
Malignant priapism is a condition of painful induration and erection of the penis secondary to metastatic infiltration by a neoplasm. This condition is associated with a poor prognosis. We report on a case of an 87-year-old man who presented with a painful, partially erected penis subsequent to a diagnosis of metastatic Gleason 4+5 prostate cancer. Magnetic resonance imaging (MRI) showed diffuse bilateral infiltration of his corpora cavernosa. The core biopsy of the penile nodule revealed it to be a poorly differentiated carcinoma consistent with prostatic origin. The patient's symptoms were completely resolved after treatment with high-dose palliative conformal radiotherapy (40Gy in 16 fractions). We systemically reviewed clinical reports of palliative radiotherapy for malignant priapism with the aim to gain more information on the management of this rare condition.
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Affiliation(s)
- Daniel T Xing
- Oliver Newton-John Cancer Wellness and Research Centre, Austin Health, Melbourne, AUS
| | | | - Supan Hettige
- Gippsland Radiation Oncology, Latrobe Regional Hospital, Traralgon, AUS
| | - Rajendra Hegde
- Gippsland Radiation Oncology, Latrobe Regional Hospital, Traralgon, AUS
- Radiation Oncology, William Buckland Radiotherapy Centre, The Alfred Health, Melbourne, AUS
| | - Rohan Nair
- Gippsland Radiation Oncology, Latrobe Regional Hospital, Traralgon, AUS
- Radiation Oncology, William Buckland Radiotherapy Centre, The Alfred Health, Melbourne, AUS
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Aynaou M, Elhoumaidi A, Mhanna T, Boateng PD, Chennoufi M, Barki A. Penile gangrene: an unusual complication of malignant priapism in a patient with renal cell carcinoma. Pan Afr Med J 2019; 34:130. [PMID: 33708299 PMCID: PMC7906551 DOI: 10.11604/pamj.2019.34.130.20447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Accepted: 11/01/2019] [Indexed: 11/23/2022] Open
Abstract
A 68-year-old man presented with priapism and penile gangrene. The patient had no history of penis trauma or medications for erectile dysfunction. Corpus cavernosa aspiration cytology were positive for malignant cells. Total penectomy was performed. Enhanced chest and abdominal computed tomography showed a left renal tumor with pulmonary and hepatic metastases. Ultrasound-guided renal biopsy showed clear cell renal cell carcinoma.
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Affiliation(s)
- Mohammed Aynaou
- Department of Urology, Mohamed VI University Hospital Center, Mohamed First University, Oujda, Morocco
| | - Amine Elhoumaidi
- Department of Urology, Mohamed VI University Hospital Center, Mohamed First University, Oujda, Morocco
| | - Tarik Mhanna
- Department of Urology, Mohamed VI University Hospital Center, Mohamed First University, Oujda, Morocco
| | - Paapa Dua Boateng
- Department of Urology, Mohamed VI University Hospital Center, Mohamed First University, Oujda, Morocco
| | - Mehdi Chennoufi
- Department of Urology, Mohamed VI University Hospital Center, Mohamed First University, Oujda, Morocco
| | - Ali Barki
- Department of Urology, Mohamed VI University Hospital Center, Mohamed First University, Oujda, Morocco
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Rouanne M, Alhammadi A, Vilain D, Radulescu C, Lebret T. Value of positron emission tomography in diagnosing synchronous penile metastasis from urothelial bladder cancer. World J Surg Oncol 2015; 13:276. [PMID: 26376852 PMCID: PMC4574003 DOI: 10.1186/s12957-015-0696-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Accepted: 09/08/2015] [Indexed: 12/03/2022] Open
Abstract
Metastases to the penis are extremely rare events. Most frequently, penile metastases come from the urogenital system (bladder, prostate) or the rectum-sigmoid colon. Usually painful, penile lesions may be asymptomatic, making diagnosis more challenging. Hence, we report the adding value of 18F-fludeoxyglucose–positron emission tomography/computed tomography (18F-FDG PET/CT) in the detection of penile metastases originating from urothelial carcinoma of the bladder. Arguably, penile metastases must be considered as an advanced disease requiring essentially palliative care. Therefore, accurate staging of clinically localized muscle-invasive bladder cancer is crucial to avoid useless curative intent radical surgery.
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Affiliation(s)
- M Rouanne
- Department of Urology, Hôpital Foch, 40, rue Worth, 92150, Suresnes, France. .,UFR des Sciences de la Santé, Versailles-Saint-Quentin-en-Yvelines University, Versailles, France.
| | - A Alhammadi
- Department of Urology, Hôpital Foch, 40, rue Worth, 92150, Suresnes, France
| | - D Vilain
- Department of Nuclear Medicine, Hôpital Foch, Suresnes, France
| | - C Radulescu
- Department of Pathology, Hôpital Foch, Suresnes, France
| | - T Lebret
- Department of Urology, Hôpital Foch, 40, rue Worth, 92150, Suresnes, France.,UFR des Sciences de la Santé, Versailles-Saint-Quentin-en-Yvelines University, Versailles, France
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