Atypical Phimosis Secondary to a Preputial Metastasis from Rectal Carcinoma

Autor: Maximilien C. Goris Gbenou, Tawfik Wahidy, Karine Llinares, Dominique Cracco, Alain Perrot, Dominique Riquet
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Case Reports in Oncology, Vol 4, Iss 3, Pp 542-546 (2011)
Druh dokumentu: article
ISSN: 1662-6575
DOI: 10.1159/000334747
Popis: Background: Cutaneous metastases from colorectal cancer are uncommon, accounting for 6.5% of all secondary skin lesions. They occur in advanced disease. The most common site is the abdomen. The penis is a rare site. Case Report: We report the case of a 79-year-old patient who presented, two years after rectocolectomy for a rectal adenocarcinoma, obstructive renal failure secondary to a presacral recurrence, as well as symptomatic phimosis associated with papulonodules invading the penis, scrotum and pubis. After hemodialysis, percutaneous pyelostomy, and double-J catheter placement, the patient underwent circumcision and a pubic skin biopsy. On histology and immunohistochemistry, a cutaneous metastasis originating from the rectal adenocarcinoma was diagnosed. Conclusions: Penile invasion by colorectal cancer revealed by phimosis is a rare occurrence but needs to be recognized and promptly diagnosed by biopsy in order to propose appropriate adjuvant therapy. These rare lesions can occur without any liver or lung involvement.
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