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阴茎干和会阴转移的胃癌的罕见表现。

An Unusual Presentation of Gastric Cancer Metastatic to the Penile Shaft and Perineum.

作者信息

Murray Michael G, Masi Athena, Kubinak Noelle A, Stead Lesley A, Eanelli Thomas R

机构信息

Emergency Medicine, MedStar Franklin Square Medical Center, Baltimore, USA.

Department of Basic Biomedical Sciences, Touro College of Osteopathic Medicine, Middletown, USA.

出版信息

Cureus. 2024 Nov 3;16(11):e72924. doi: 10.7759/cureus.72924. eCollection 2024 Nov.

DOI:10.7759/cureus.72924
PMID:39628745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11614032/
Abstract

Metastatic disease to the penile shaft is among the most rare metastatic sites for any neoplasm. We report the case of a healthy 69-year-old Jamaican male who initially presented with classical primary gastric adenocarcinoma. He was subsequently treated in a routine manner with complete surgical resection followed by chemoradiation as per the US Intergroup Trial 0116. Two years later, the patient presented with a chief complaint of dyspareunia. He was found to have a perineal nodule and penile skin thickening. He was ultimately diagnosed with gastric metastasis and treated with chemotherapy and salvage radiotherapy. He was followed up for a further 15 months but was eventually lost to follow-up and passed away.

摘要

阴茎干转移瘤是所有肿瘤中最罕见的转移部位之一。我们报告一例69岁健康牙买加男性病例,该患者最初表现为典型的原发性胃腺癌。随后,他按照美国肿瘤协作组0116试验接受了常规的手术完全切除,随后进行了放化疗。两年后,患者以性交困难为主诉就诊。检查发现他有一个会阴结节和阴茎皮肤增厚。最终他被诊断为胃转移瘤,并接受了化疗和挽救性放疗。他又接受了15个月的随访,但最终失访并去世。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/c2c324a9b669/cureus-0016-00000072924-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/de91a0c2e6e9/cureus-0016-00000072924-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/0089e0019ed8/cureus-0016-00000072924-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/d8e9643f01ff/cureus-0016-00000072924-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/8636f3386210/cureus-0016-00000072924-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/a8c492390a23/cureus-0016-00000072924-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/a9f66f8f001b/cureus-0016-00000072924-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/fae5fb3a51ad/cureus-0016-00000072924-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/c2c324a9b669/cureus-0016-00000072924-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/de91a0c2e6e9/cureus-0016-00000072924-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/0089e0019ed8/cureus-0016-00000072924-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/d8e9643f01ff/cureus-0016-00000072924-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/8636f3386210/cureus-0016-00000072924-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/a8c492390a23/cureus-0016-00000072924-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/a9f66f8f001b/cureus-0016-00000072924-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/fae5fb3a51ad/cureus-0016-00000072924-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa29/11614032/c2c324a9b669/cureus-0016-00000072924-i08.jpg

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