Touzani Mohammed Alae, Yddoussalah Othmane
Université Mohammed 5, Faculté de Médecine et de Pharmacie de Rabat, Hopital Ibn Sina, Service d'Urologie B, Maroc.
Pan Afr Med J. 2017 Sep 21;28:60. doi: 10.11604/pamj.2017.28.60.13244. eCollection 2017.
The incidence of cavernous metastases after radical treatment for bladder tumor is exceptional and is approximately 1%. The mean time between surgery and the occurrence of metastases is 8 months. In some cases they occur after 10 years. Diagnosis is confirmed by biopsy, which shows their urothelial origin. Here we report the case of 56-year old patient, with a history of smoking, having undergone total cystoprostatectomy in January 2017, who presented 2 months later with induratio penis plastica with no other sign associated. Priapism and gangrene of the penis of infectious origin have been suspected but, given the patient's clinical condition, the more likely diagnosis was cavernous metastasis. On two occasions the patient refused biopsy: during two consultations at 15 days interval (A, B). The patient accepted to undergo biopsy during the 3 consultation (C, D). Biopsy confirmed the diagnosis of cavernous metastasis.
膀胱肿瘤根治性治疗后海绵体转移的发生率极低，约为1%。手术与转移发生之间的平均时间为8个月。在某些情况下，转移会在10年后出现。通过活检确诊，活检显示其起源于尿路上皮。在此，我们报告一例56岁有吸烟史的患者，于2017年1月接受了全膀胱前列腺切除术，术后2个月出现阴茎硬结症，无其他相关体征。曾怀疑为感染性阴茎异常勃起和阴茎坏疽，但鉴于患者的临床情况，更可能的诊断是海绵体转移。患者两次拒绝活检：在间隔15天的两次会诊期间（A、B）。患者在第三次会诊时接受了活检（C、D）。活检确诊为海绵体转移。
