Open Access

CASE REPORT

Distant cutaneous metastases secondary to squamous carcinoma of the penis

Andre van der Merwe, Amir Zarrabi, Jaques Basson, Johan Stander, Chris F. Heyns

Division of Urology, University of Stellenbosch, Tygerberg Hospital, Tygerberg, South Africa
Address correspondence to Dr. Andre van der Merwe, Department of Urology, Faculty of Healthsciences, University of Stellenbosch/Tygerberg Campus, PO Box 19063, Tygerberg 7505, South Africa

Canadian Journal of Urology 2009, 16(1), 4498-4501.

Abstract

Penile cancer normally spreads in a predictable manner to the regional lymph nodes: first inguinal and then the pelvic nodes. We report a case where the patient presented synchronously with secondary skin metastases and primary high grade penile squamous carcinoma. In addition the patient also had pulmonary metastases, locoregional spread to the groin nodes, liver metastases and tumour erosion of a right sided rib. The skin metastases appeared nodular, were firm in consistency and appeared intradermal. Skin metastases have been described for a number of solid malignancies – the clinician must have an index of suspicion to relate a less obvious primary lesion with secondary skin lesions. The patient died before chemotherapy could be administered.

---

Keywords

---