Hajianfar Ramin, Muniesa Marta, Gomez Esther, Belles Francisco, Pallisera Anna, Ortiz de Zarate Luis
Servicio de Urologia Y Cirugia General. Seccion Coloproctologia. Consorci Sanitari Integral. Hospital General de l'Hospitale de Llobregat.Barcelona.Spain.
Arch Esp Urol. 2014 May;67(4):353-6.
To report a clinical case of penile metastasis of a rectal adenocarcinoma.
We report the case of a 78-year-old male with a clinical history of rectum adenocarcinoma. The management included an anterior rectum-resection and postoperative combination of neoadjuvant chemo and radiotherapy. Eight months after the operation, a painful solitary nodular lesion on the glans penis was diagnosed. We performed a needle biopsy (Tru-cut).
Histological examination confirmed metastasis of the rectal tumour. We performed partial penectomy.
The incidence of penile metastasis is extremely low. In a large number of cases the primary tumour is localized in the genito-urinary tract, less likley they originate from other organs. The treatment, depending to each case, is mostly palliative due to the poor prognosis of disease.
报告一例直肠腺癌阴茎转移的临床病例。
我们报告了一名78岁男性直肠腺癌患者的病例。治疗包括直肠前切除术及术后新辅助化疗和放疗联合应用。术后八个月，阴茎头出现一个疼痛性孤立结节状病变，遂进行针吸活检（Tru-cut）。
组织学检查证实为直肠肿瘤转移。我们实施了部分阴茎切除术。
阴茎转移的发生率极低。在大多数病例中，原发肿瘤位于泌尿生殖道，较少源自其他器官。由于疾病预后较差，根据具体病例情况，治疗大多为姑息性治疗。
