Malignant priapism secondary to penile metastases is a rare condition. This term was originally used by Peacock in 1938 to describe a condition of painful induration and erection of the penis due to metastatic infiltration by a neoplasm. In the current literature there are 512 case reports. The primary tumor sites are bladder, prostate and rectum. The treatment has only palliative intent and consists of local tumor excision, penectomy, radiotherapy and chemotherapy. We present one case of malignant priapism originated from prostate cancer, and two from urothelial carcinoma of the bladder. Different approaches in diagnosis and therapy were performed. The entire three patient reported a relief of the pain following the treatment, with an improvement of their quality of life, even though it was only temporary as a palliative. Malignant priapism is a rare medical emergency. Penile/pelvis magnetic resonance imaging (MRI) scan and corporal biopsies are considered an effective method of diagnosis of the primary organ site.

Malignant priapism due to penile metastases. Case series and literature review / DE LUCA, Francesco; Zacharakis, Evangelos; Shabbir, Majed; Maurizi, Angela; Manzi, Emy; Zanghì, Antonio; DE DOMINICIS, Carlo; Ralph, David. - In: ARCHIVIO ITALIANO DI UROLOGIA ANDROLOGIA. - ISSN 1124-3562. - ELETTRONICO. - 88:2(2016), pp. 150-152. [10.4081/aiua.2016.2.150]

Malignant priapism due to penile metastases. Case series and literature review

DE LUCA, FRANCESCO
;
MAURIZI, ANGELA;MANZI, EMY;DE DOMINICIS, Carlo;
2016

Abstract

Malignant priapism secondary to penile metastases is a rare condition. This term was originally used by Peacock in 1938 to describe a condition of painful induration and erection of the penis due to metastatic infiltration by a neoplasm. In the current literature there are 512 case reports. The primary tumor sites are bladder, prostate and rectum. The treatment has only palliative intent and consists of local tumor excision, penectomy, radiotherapy and chemotherapy. We present one case of malignant priapism originated from prostate cancer, and two from urothelial carcinoma of the bladder. Different approaches in diagnosis and therapy were performed. The entire three patient reported a relief of the pain following the treatment, with an improvement of their quality of life, even though it was only temporary as a palliative. Malignant priapism is a rare medical emergency. Penile/pelvis magnetic resonance imaging (MRI) scan and corporal biopsies are considered an effective method of diagnosis of the primary organ site.
Metastases; Priapism; Tumour; Aged; Carcinoma, Transitional Cell; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Penile Neoplasms; Priapism; Prostatic Neoplasms; Urinary Bladder Neoplasms; Quality of Life; Urology
01 Pubblicazione su rivista::01i Case report
Malignant priapism due to penile metastases. Case series and literature review / DE LUCA, Francesco; Zacharakis, Evangelos; Shabbir, Majed; Maurizi, Angela; Manzi, Emy; Zanghì, Antonio; DE DOMINICIS, Carlo; Ralph, David. - In: ARCHIVIO ITALIANO DI UROLOGIA ANDROLOGIA. - ISSN 1124-3562. - ELETTRONICO. - 88:2(2016), pp. 150-152. [10.4081/aiua.2016.2.150]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/937188
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