title: Unusual presentation of bladder cancer resurgence and efficacy of radiotherapy.
abstract: A 68-year-old man with a history of bladder cancer presented with perineal pain and penile priapism. The work up showed multiple lesions strictly located in the penis; biopsy confirmed metastases of bladder cancer. Surgery was judged unfeasible and chemotherapy failed to improve symptoms. Radiotherapy was therefore delivered on the whole penis and resulted in a rapid clinical benefit and persistent control of the disease. Penile metastases are very rare and no consensus exists concerning their management; radiotherapy appears as a promising therapeutic option not only to palliate pain but also to control the disease.
authors.affiliation: Department of Medical Oncology, Hopital de Jolimont, Haine-Saint-Paul, Belgium.
authors.forename: Rachel
authors.initials: R
authors.lastname: Galot
authors.affiliation: Radiotherapy Unit, Hopital de Jolimont, Haine-Saint-Paul, Belgium.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Christian
authors.affiliation: Department of Radiology, Hopital de Jolimont, Haine-Saint-Paul, Belgium.
authors.forename: Marie
authors.initials: M
authors.lastname: Bitar
authors.affiliation: Department of Medical Oncology, Hopital de Jolimont, Haine-Saint-Paul, Belgium.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Seront
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D010412:Penile Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy*; D010502:Perineum / Q000473:pathology; D011317:Priapism / Q000175:diagnosis / Q000209:etiology; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy*
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