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.

A case of broken heart syndrome via the telephone: socially distant outpatient clinics in the COVID-19 pandemic A 69-year-old woman presented to the emergency department with central dull chest pain. Electrocardiography revealed Q waves and ST elevation in the inferior leads and cardiac troponin I was elevated at 1506 ng/L (normal range <10). She was taken for emergent coronary angiography, which demonstrated chronic occlusion of her right coronary artery, left ventricular ejection fraction of 34% and basal hyperkinesis with mid-ventricular and apical dyskinesis consistent with takotsubo syndrome (Fig. 1).

Incidental diagnosis of haematolymphoid disorders in prostate tissue is rare, with the largest study in the literature reporting a 0.37% incidental lymphoma diagnosis in prostate and associated lymph node tissue. B cell lymphocytosis (MBL) is a relatively recently defined disease entity. The authors present the diagnosis and management of a patient diagnosed with incidental MBL on transurethral resection of prostate (TURP), performed for symptomatic lower urinary tract symptoms refractory to pharmacological therapy. Initially thought to represent chronic lymphocytic leukemia, repeated flow-cytometric analysis confirmed the diagnosis of MBL, and the patient remains under surveillance without the requirement for further medical treatment.