title: Penile metastasis from primary bladder tumour.
abstract: OBJECTIVE
  We present a case of cutaneous metastasis caused by a bladder tumor.
  
  
  METHODS
  68 year old male, diagnosed with an ISUP high grade urothelial carcinoma, affecting the whole bladder wall, including the perivesicular fat and macroscopic metastasis in the left ilio-obturator chain (T3N2MO), who presents painless induration on the dorsal surface of the glans penis with non-exudative ulcerated areas, evolving over several months. Given the negative serology result, the lesion was biopsied for anatomopathological study.
  
  
  RESULTS
  The histopathological study of the lesion corresponded to a cutaneous metastasis from high grade urothelial carcinoma.
  
  
  CONCLUSIONS
  Approximately 370 cases of penile metastasis have been described and the primary tumor is located in the bladder in 30-35% of them. Presentation of these lesions is very heterogeneous and requires anatomopathological study of the lesion for definitive diagnosis.
authors.affiliation: Urology Departmentand.Hospital Clinico Universitario. Valladolid.Spain.
authors.forename: María Esther
authors.initials: ME
authors.lastname: Valsero Herguedas
authors.forename: Alejandro
authors.initials: A
authors.lastname: Sanz Ruiz
authors.forename: Miguel
authors.initials: M
authors.lastname: Pascual Samaniego
authors.forename: E
authors.initials: E
authors.lastname: García Lagarto
authors.forename: María
authors.initials: M
authors.lastname: Bedate Núñez
authors.forename: Ernesto
authors.initials: E
authors.lastname: Fernández del Busto
mesh_terms: D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000556:secondary*; D006801:Humans; D008297:Male; D010412:Penile Neoplasms / Q000556:secondary*; D012878:Skin Neoplasms / Q000556:secondary*; D001749:Urinary Bladder Neoplasms / Q000473:pathology*