title: Occult distal urethral carcinoma presenting as metastatic carcinoma in the inguinal lymph nodes.
abstract: A 65-year-old man presented with metastatic squamous cell carcinoma in the inguinal lymph nodes from an unknown primary tumour. The initial work-up lacked clinical examination of the glans penis, in part due to the patient having phimosis. More than a year after presentation, a primary tumour, located distally on the penis, was diagnosed. A discussion of urethral carcinoma as well as inguinal lymph-node metastasis of unknown primary tumour is presented.
authors.affiliation: 1 Department of Urology, Aarhus University Hospital , Aarhus Nord , Denmark.
authors.forename: Niels
authors.initials: N
authors.lastname: Hammer-Hansen
authors.forename: Søren
authors.initials: S
authors.lastname: Høyer
authors.forename: Jørgen Bjerggaard
authors.initials: JB
authors.lastname: Jensen
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000556:secondary*; D006119:Groin; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D009382:Neoplasms, Unknown Primary; D014523:Urethral Neoplasms / Q000473:pathology*
keywords: Lymph-node metastasis; unknown primary tumour; urethral carcinoma