根治性肾切除术后肾透明细胞癌转移所致恶性阴茎异常勃起作为首发表现

Luo Yun, Yang Fei, Cai Jiarong, Li Wenbiao, Zhan Hailun

Department of Urology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, China.

Urol Case Rep. 2021 Aug 3;39:101795. doi: 10.1016/j.eucr.2021.101795. eCollection 2021 Nov.

The priapism secondary to the tumor metastasis to penis is rare. We described a case of a patient with priapism caused by the metastasis of renal cell carcinoma after radical nephrectomy. The previous reported cases found in the literature were reviewed. The pathophysiology, diagnosis, management and prognosis were discussed. Renal cell carcinoma metastasis to penis usually represents a more advanced stage of disease and carries a poor prognosis. The therapy is only palliative.

肿瘤转移至阴茎导致的阴茎异常勃起较为罕见。我们描述了一例在根治性肾切除术后因肾细胞癌转移而引发阴茎异常勃起的患者病例。对文献中先前报道的病例进行了回顾。讨论了其病理生理学、诊断、治疗及预后。肾细胞癌转移至阴茎通常代表疾病处于更晚期阶段，预后较差。治疗仅为姑息性治疗。