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Metastatic plasmacytoid bladder cancer causing malignant priapism
  1. Ryan Pereira,
  2. Marlon Perera and
  3. Handoo Rhee
  1. Urology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
  1. Correspondence to Dr Marlon Perera, marlonlperera{at}


An 81-year-old man presented to medical services with pelvic pain and evolving urinary retention over 3 months. The patient was found to have a tense glans and penile shaft with surrounding induration consistent with malignant priapism. The extent of the induration included the suprapubic region, scrotum, left iliac region and left flank. A CT scan demonstrated an enhancing, pedunculated lesion arising from the anterior bladder wall measuring 30×31×20 mm. There were multiple enlarged left inguinal lymph nodes. Core biopsies of the subcutaneous tissue on the anterior abdominal wall demonstrated plasmacytoid urothelial carcinoma. The majority of patients with plasmacytoid variant of transitional cell carcinoma will present with >stage 3 bladder disease

  • urological cancer
  • urological surgery

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  • Contributors RP wrote the original draft of the manuscript. RP and MP performed the literature search. RP, MP and HR reviewed, edited and approved the final version of the manuscript. All the listed authors agree with the content of the submitted case report for publication.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.