Open Access

RESIDENT’S CORNER

Penoscrotal lymphedema associated with metastatic renal cell carcinoma

David Crawley, Peter Haddock, Max Jackson, Jeffrey Kamradt, Stuart Kesler

Urology Division, Hartford Healthcare Medical Group, Hartford, Connecticut, USA
Address correspondence to Dr. Peter Haddock, Urology Division, Hartford Healthcare Medical Group, 85 Seymour Street, Suite 416, Hartford, CT 06106 USA

Canadian Journal of Urology 2015, 22(4), 7932-7934.

Abstract

A 64-year-old male presented with lower back pain, radiating in a sciatic-type distribution, swelling in his lower abdomen and right leg, and edema of the scrotum and penile shaft. A sonogram and CT imaging indicated an enhancing mass in the right kidney and a spinal metastasis. The right lower extremity and penoscrotal lymphedema was caused by lymphatic obstruction due to a sacral metastasis of renal cell carcinoma. He was treated with cytoreductive nephrectomy, radiation and a systemic tyrosine kinase inhibitor. Pelvic imaging is suggested to determine whether malignant lymphatic obstruction is present when presented with idiopathic penoscrotal edema.

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