结肠癌阴茎转移：一例罕见病例报告。

Triki Wissem, Kacem Aziz, Itami Ahmed, Baraket Oussema, Rebai Mohamed Hedi, Bouchoucha Sami

Faculty of Medicine of Tunis, University Tunis El Manar, Department of General Surgery, Habib Bougatfa Hospital, Bizerte, Tunisia.

Faculty of Medicine of Tunis, University Tunis El Manar, Department of Urology, Habib Bougatfa Hospital, Bizerte, Tunisia.

Urol Case Rep. 2019 Mar 16;24:100875. doi: 10.1016/j.eucr.2019.100875. eCollection 2019 May.

Despite being one of the most common primary tumors in the world, colon cancer only metastasizes to the penis in singular cases. We report the case of a 53 year-old male presenting with hematuria, pain and induration of the penis 2 and half years after the diagnosis of left colon cancer. CT scan demonstrated involvement of the corpus spongiosum and corpora cavernosa with enlarged external inguinal lymph nodes and asymptomatic metastasis in the liver and lungs. The finding of a penile lesion in a cancer patient is an alarming sign and should indicate a disseminated disease. The prognosis of penile metastasis is poor.

尽管结肠癌是世界上最常见的原发性肿瘤之一，但仅在个别病例中转移至阴茎。我们报告一例53岁男性病例，该患者在诊断为左结肠癌2年半后出现血尿、阴茎疼痛和硬结。CT扫描显示海绵体和阴茎海绵体受累，腹股沟淋巴结肿大，肝脏和肺部有无症状转移。癌症患者出现阴茎病变是一个警示信号，应提示疾病已播散。阴茎转移的预后较差。