Malignant priapism secondary to isolated penile metastasis from a renal pelvic carcinoma

Sulai Liu; Fuhua Zeng; Lin Qi; Shusuan Jiang; Pingping Tan; Xiongbing Zu; Yu Xie; Weiqing Han

doi:10.5489/cuaj.1695

Malignant priapism secondary to isolated penile metastasis from a renal pelvic carcinoma

Can Urol Assoc J. 2014 Jul;8(7-8):E558-60. doi: 10.5489/cuaj.1695.

Authors

Sulai Liu¹, Fuhua Zeng², Lin Qi³, Shusuan Jiang⁴, Pingping Tan⁵, Xiongbing Zu³, Yu Xie², Weiqing Han²

Affiliations

¹ Department of Urology, Xiangya Hospital, The Central South University, Changsha China; ; Department of Urology, The Affiliated Tumor Hospital of Xiangya Medical School, The Central South University, Changsha, China;
² Department of Urology, The Affiliated Tumor Hospital of Xiangya Medical School, The Central South University, Changsha, China;
³ Department of Urology, Xiangya Hospital, The Central South University, Changsha China;
⁴ Department of Urology, The Affiliated Tumor Hospital of Xiangya Medical School, The Central South University, Changsha, China; ; Department of Urology, The first affiliated hospital of Guangxi Medical University, Nanning, China;
⁵ Department of Pathology, The Affiliated Tumor Hospital of Xiangya Medical School, The Central South University, Changsha, China.

Abstract

We report a case of isolated penile metastasis from renal pelvic carcinoma in a 69-year-old man with malignant priapism. The patient had radical resection of the renal pelvic carcinoma 2 months earlier with urothelial carcinoma (UC) and sarcomatoid differentiation histology. Physical examination showed no visible skin lesions, but a palpable hard nodule was present over the penile shaft. The imaging studies did not reveal other metastases. Cavernous-Glans shunt and nodule resection were performed, and histological examination showed metastasis UC with sarcomatoid differentiation. To our knowledge, we describe the first case of malignant priapism due to isolated penile metastasis of renal pelvic carcinoma.