@Article{,
AUTHOR = {David Crawley, Peter Haddock, Max Jackson, 
Jeffrey Kamradt, Stuart Kesler},
TITLE = {Penoscrotal lymphedema associated with metastatic renal cell carcinoma},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {22},
YEAR = {2015},
NUMBER = {4},
PAGES = {7932--7934},
URL = {http://www.techscience.com/CJU/v22n4/61245},
ISSN = {1488-5581},
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.},
DOI = {}
}