Secondary Tumors of the Penis

Penile Metastases Secondary to Bladder Cancer

“…(2) La Peyronie's disease [9,13,16,37,56,58,59] is usually a thin plaque which is relatively nontender, whereas a metastatic penile lesion is usually tender, more nodular, and its evolution more rapid.…”

“…(4) Primary penile cancer occurs in younger patients but could be easily confused with a penile metastatic lesion [15,16,37] when the latter involves the glans, the prepuce or when it is ulcerated.…”

“…Because the lymphatic drainage from the penis is mainly to the inguinal nodes which usually remain free in bladder cancer, retrograde lymphatic spread could ex plain only a few cases, especially those in which the ingui nal nodes were involved [37,52], The fact that small lymphatic vessels draining the penis follow the deep dor sal vein of the penis to join the prostatic channels into the deep iliac nodes may explain a few cases of metastases to the penis [30]. In fact, Strandness and Paulken [57] doc umented their finding of tumor cells permeating the lym phatic vessels in penile lesions removed for biopsy in their 2 cases.…”

Prostatic Tumors with Penile Secondaries

“…Since then, the treatment was recorded in at least 37 other patients. Most frequently the condition of the patient was so advanced that the treatment had to be palliative (24 patients); 12 patients [9,14,20,23,30,32,38,41,50,54,55,61] received various kinds of radiation therapy: e.g. cobalt [41], radon, contact radia tion; 11 patients had palliative surgery, 9 had cystostomy [14,18,21,25,32,42,50,59 and our case], 2 had bilateral orchiectomy [24,25] and 1 patient was given hormone therapy [50].…”