Unusual presentation of bladder cancer resurgence and efficacy of radiotherapy

BMJ Case Rep. 2016 Jan 27:2016:bcr2015213538. doi: 10.1136/bcr-2015-213538.

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Humans
  • Male
  • Pain / diagnosis
  • Pain / etiology
  • Penile Neoplasms / diagnosis*
  • Penile Neoplasms / pathology
  • Penile Neoplasms / radiotherapy*
  • Perineum / pathology
  • Priapism / diagnosis
  • Priapism / etiology
  • Treatment Outcome
  • Urinary Bladder Neoplasms / diagnosis*
  • Urinary Bladder Neoplasms / pathology
  • Urinary Bladder Neoplasms / radiotherapy*