PENILE METASTASIS SECONDARY TO CECUM CARCINOMA - A CASE-REPORT

To date, only around 300 cases of metastasis to the penis have been re ported and the primary cancer has been generally found in genitourinar y structures. However, exceptional cases in which the primary site has been situated in organs like esophagus, pancreas, stomach have been p ublished. We report an uncommon case in which the primary tumor was lo cated in the cecum. To our knowledge, this is the first case of penile metastasis in which the responsible tumor was located in the cecum an d in which the mode of metastasis was not direct invasion. As the tumo r was restricted to the colon wall without invasion to neighbouring st ructures, and because colon cancer follows mainly the lymph-vascular r oute to its dissemination, this route is the most likely mode of the s pread. By magnetic resonance imaging (MRI) on penile shaft, multiple n odules were clearly visualized. Nevertheless, as in most cases, in spi te of the availability of advanced and precise diagnostic methods, the information was of little value for the patient. His survival was sho rt.