Penile metastasis of prostatic adenocarcinoma. Case report.
OBJECTIVE
Penile metastases are late manifestations of a primary tumor, and they are a sign of poor prognosis. We report a case of a rare presentation: penile metastases from prostate cancer.


METHODS
77 year-old male presented hematuria and acute urinary retention; on physical examination multiple hard lesions were detected. The patient underwent a  Doppler ultrasound, subsequent penile and prostate biopsy, and staging study. Currently he is being treated with complete androgen blockade.


RESULTS
A histological study of the penile biopsy showed penile metastasis from prostate adenocarcinoma. The histological study of prostate biopsy confirmed Gleason 8 (4+4) adenocarcinoma.


CONCLUSIONS
Despite of the different therapeutic alternatives for treatment of symptomatic penile metastases, it would be with palliative target; due to the  median survival of these patients is less than a year.
Urology Department, Complejo Asistencia De Leon, Spain. yasmina248@hotmail.com
Lorena Ortiz
LO
Sánchez
Iván González
IG
Rodríguez
Miguel Angel Alonso
MA
Prieto
Ignacio Carretero
IC
Zamora
Serenella Monagas
SM
Arteaga
Emiliano Honrado
EH
Franco
Francisco Javier Gallo
FJ
Rolania
D000230:Adenocarcinoma / Q000473:pathology* / Q000556:secondary*; D000368:Aged; D000726:Androgen Antagonists / Q000627:therapeutic use; D001706:Biopsy; D001842:Bone and Bones / Q000000981:diagnostic imaging; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008297:Male; D010388:Pelvis / Q000473:pathology; D010412:Penile Neoplasms / Q000556:secondary*; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000473:pathology*; D013977:Tibia / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016055:Urinary Retention / Q000209:etiology
D000726:Androgen Antagonists