Penile metastases from prostate cancer (PC) are rarely reported in the literature. Most commonly diagnosed due to presentation with malignant priapism and other urinary symptoms or from findings on clinical examination, prognosis has been reported to be poor. The authors outline a case of penile metastasis from advanced PC. Initially treated with neoadjuvant androgen deprivation therapy for locally advanced PC, this patient displayed upfront castrate resistance, and subsequent prostate-specific membrane antigen positron emission tomography revealed penile metastatic deposits. The patient was treated with external beam radiotherapy, and worsening urethral stricture disease resulted in the placement of a suprapubic catheter.
BMJ case reports. 2020 Mar 24*** epublish ***
Margaret Mary Mansbridge, Andrew Strahan, Jonathon Parker, Handoo Rhee
Urology, Princess Alexandra Hospital Health Service District, Woolloongabba, Queensland, Australia ., Urology, Princess Alexandra Hospital Health Service District, Woolloongabba, Queensland, Australia., Queensland Health, Southport, Queensland, Australia.