Penile metastasization is an uncommon condition, mostly derived from primitive advanced abdominal cancers, with disabling symptoms. Palliative treatment, in reason of poor prognosis patients, is frequently surgical with destructive management. We report two cases of penile metastasis, from primitive prostatic adenocarcinoma and primitive urothelial carcinoma, effectively managed with radiation treatment at our institution. A three-dimensional conformal radiation therapy with 42Gy to the planning target volume in 14 fractions was delivered. Radiation treatment was safely delivered, with low toxicity profile and achieved adequate symptoms control without compromising genitourinary functions. Radiation therapy should be considered in management of rare penile metastases.
Cancer radiotherapie : journal de la Societe francaise de radiotherapie oncologique. 2021 Apr 22 [Epub ahead of print]
B Detti, A Sardaro, V Maragna, M Mariotti, G Stocchi, M Roghi, M A Teriaca, G Francolini, B Guerrieri, L Livi
Radiation Oncology Unit, Azienda Ospedaliero Universitaria Careggi, l.go Brambilla 3, 50144 Florence, Italy. Electronic address: ., Interdisciplinary Department of Medicine, Nuclear Medicine Unit and Section of Radiology and Radiation Oncology, University of Bari Aldo-Moro, Bari, Italy., Radiation Oncology Unit, Azienda Ospedaliero Universitaria Careggi, l.go Brambilla 3, 50144 Florence, Italy.