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Case report
PSMA-PET/CT-avid metastatic prostate cancer to the penis
  1. Margaret Mary Mansbridge1,
  2. Andrew Strahan1,
  3. Jonathon Parker2 and
  4. Handoo Rhee1,3,4
  1. 1Urology, Princess Alexandra Hospital Health Service District, Woolloongabba, Queensland, Australia
  2. 2Queensland Health, Southport, Queensland, Australia
  3. 3Urology and Transplant Surgery, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
  4. 4University of Queensland, Brisbane, Queensland, Australia
  1. Correspondence to Dr Margaret Mary Mansbridge; margaret.mansbridge{at}health.qld.gov.au

Abstract

Penile metastases from prostate cancer (PC) are rarely reported in the literature. Most commonly diagnosed due to presentation with malignant priapism and other urinary symptoms or from findings on clinical examination, prognosis has been reported to be poor. The authors outline a case of penile metastasis from advanced PC. Initially treated with neoadjuvant androgen deprivation therapy for locally advanced PC, this patient displayed upfront castrate resistance, and subsequent prostate-specific membrane antigen positron emission tomography revealed penile metastatic deposits. The patient was treated with external beam radiotherapy, and worsening urethral stricture disease resulted in the placement of a suprapubic catheter.

  • prostate
  • radiotherapy
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Footnotes

  • Contributors MMM: conceptualisation, preparation and finalisation of the manuscript; AS: preparation and finalisation of the manuscript; JP: preparation and finalisation of the manuscript; HR: conceptualisation, preparation and finalisation of the manuscript.

  • 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.

  • Patient consent for publication Obtained.

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

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