Open AccessPSMA-PET/CT-avid metastatic prostate cancer to the penis
Author(s) -
Margaret Mary Mansbridge,
Andrew Strahan,
Jonathon Parker,
Handoo Rhee
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-233522
Subject(s) - medicine , prostate cancer , priapism , penis , radiation therapy , androgen deprivation therapy , radiology , metastasis , penile cancer , erectile dysfunction , positron emission tomography , urology , prostate , cancer , surgery
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.