title: Metastasis of rectal adenocarcinoma to the penis.
abstract: OBJECTIVE
  To report a clinical case of penile metastasis of a rectal adenocarcinoma.
  
  
  METHODS
  We report the case of a 78-year-old male with a clinical history of rectum adenocarcinoma. The management included an anterior rectum-resection and postoperative combination of neoadjuvant chemo and radiotherapy. Eight months after the operation, a painful solitary nodular lesion on the glans penis was diagnosed. We performed a needle biopsy (Tru-cut).
  
  
  RESULTS
  Histological examination confirmed metastasis of the rectal tumour. We performed partial penectomy.
  
  
  CONCLUSIONS
  The incidence of penile metastasis is extremely low. In a large number of cases the primary tumour is localized in the genito-urinary tract, less likley they originate from other organs. The treatment, depending to each case, is mostly palliative due to the poor prognosis of disease.
authors.affiliation: Servicio de Urologia Y Cirugia General. Seccion Coloproctologia. Consorci Sanitari Integral. Hospital General de l'Hospitale de Llobregat.Barcelona.Spain.
authors.forename: Ramin
authors.initials: R
authors.lastname: Hajianfar
authors.forename: Marta
authors.initials: M
authors.lastname: Muniesa
authors.forename: Esther
authors.initials: E
authors.lastname: Gomez
authors.forename: Francisco
authors.initials: F
authors.lastname: Belles
authors.forename: Anna
authors.initials: A
authors.lastname: Pallisera
authors.forename: Luis
authors.initials: L
authors.lastname: Ortiz de Zarate
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000628:therapy; D000368:Aged; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D010412:Penile Neoplasms / Q000556:secondary* / Q000628:therapy; D012004:Rectal Neoplasms / Q000473:pathology*