Priapism as The Initial Presentation of Prostate Cancer Recurrence: A Case Report and Review of the Literature (original) (raw)
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Malignant priapismus induced by adenocarcinoma of the prostate
Urology Case Reports, 2020
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Asian Journal of Medical Sciences, 2013
Metastatic neoplasms of the penis are uncommon. The most common primary organs have been reported to be the bladder and prostate. In the present report, a patient with priapism was demonstrated to have carcinoma prostate complicated with penile, lung, and liver metastasis in the absence of bone involvement and normal serum PSA levels.DOI: http://dx.doi.org/10.3126/ajms.v4i2.7827 Asian Journal of Medical Sciences 4(2013) 51-54
High flow malignant priapism with isolated metastasis to the corpora cavernosa
Urology, 1998
Malignant priapism is a rare disease with only 88 reported cases. We present a case of a patient with priapism secondary to isolated metastasis to corpora cavernosa from bladder tumor. Metastasis to penis usually represents evidence of a more widespread disease in 80% to 90% of the patients. Rarely, as in this case, the metastasis is solitary.
Prognosis of men with penile metastasis and malignant priapism: a systematic review
Oncotarget, 2018
Metastases to the penis are rare, but can have severe consequences. The aim of this study was to systematically review the literature in order to gain more information on the presentation and prognosis of this metastatic disease. We reviewed the literature relating to all case reports, series and reviews about penile metastasis, from 2003 to 2013, through a Medline search. We identified 63 articles and 69 patients. Metastases were located on the root (38.8%), the shaft (38.8%) or the glans (22.2%) of the penis. The diagnosis of penile metastasis was made after the primary cancer had been diagnosed. The most common presentation was a single small penile nodule. Ten patients reported priapism. The median survival time after diagnosis of penile metastasis was 10 months (range 6-18 months). A Kaplan-Meier analysis has shown that the patients presenting with priapism and those with metastases from non-urologic tumors have a significantly worse prognosis (age adjusted Log Rank: p=0.037 fo...
Penile Metastatic Disease Presenting as Malignant Priapism: A Case Report
Journal of Urological Surgery
Penile metastatic disease is an uncommon condition with a dismal prognosis. Reported herein is a case of metachronous penile metastasis from bladder urothelial carcinoma, which presents as malignant priapism without tumoral masses. The authors explain the imaging and pathologic findings that led to its diagnosis and staging.
Cureus
Priapism is one of the most common urologic emergencies and is characterized by a prolonged and painful erectile state unrelated to sexual stimulation or sexual desire. Neoplasm-associated priapism is a rare condition and is usually caused by corporeal metastases of other pelvic area malignancies. Primary penile malignancy-related malignant priapism is extremely rare. In this reported case, an 82-year-old male presented with priapism. The penile doppler ultrasound and pelvic magnetic resonance imaging were compatible with ischemic priapism and corporal mass. Subsequently, the patient underwent total penectomy and bilateral superficial inguinal lymphadenectomy. The pathology report was consistent with primary penile squamous cell cancer (SCC), so the patient underwent adjuvant radiotherapy. However, he developed multiple metastases and could survive for about six months. The patient had undergone radical cystectomy (RC) and urethrectomy 19 and 2 years ago due to urothelial carcinoma, respectively. To the best of our knowledge, this is the second case of malignant priapism due to primary penile SCC and represents one of the longest urethral recurrence periods after RC. When a patient presents with malignant priapism, primary penile malignancies should be considered in differential diagnosis, even if the patient has a history of pelvic area malignancies.
A rare case of penile metastasis of testicular cancer presented with priapism
Hinyokika kiyo. Acta urologica Japonica, 2005
Priapism is thought as a condition of penile erection that persists beyond or is unrelated to sexual stimulation. Commonly two different entities of priapism are known, one is low-flow priapism and the other is high-flow priapism. It is important to distinguish these two conditions for the subsequent different treatments. We report a rare case of an indistinguishable priapism caused by penile metastasis of testicular cancer.
[Malignant priapism and secondary bladder cancer]
Archivos españoles de urología, 2009
We report a rare case of malignant priapism secondary to transitional cell carcinoma. The patient with bladder cancer (pT4G3) presented with painful penile erection. Corpora cavernosa biopsy was done. The pathologic diagnosis was penile metastasis of transitional cell carcinoma. Priapism secondary to penile metastasis of transitional cell carcinoma is rare and indicates advanced disease with a poor prognosis.