Metastasis of rectal adenocarcinoma to the penis.

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.