Atypical phimosis secondary to a preputial metastasis from rectal carcinoma |
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Authors: | Goris Gbenou Maximilien C Wahidy Tawfik Llinares Karine Cracco Dominique Perrot Alain Riquet Dominique |
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Institution: | Department of Urology, Centre Hospitalierde Valence, Valence, France. mcgoris @ gmail.com |
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Abstract: | BackgroundCutaneous 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 ReportWe 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.ConclusionsPenile 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.Key words: Colorectal cancer, Phimosis, Penile metastasis, Cutaneous metastasis |
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