A Rare Case of Penile Metastases as a Harbinger of Primary Pulmonary Adenosquamous Carcinoma

Although lung cancer has a high propensity for distant metastatic disease, penile metastases from primary lung neoplasms are considered particularly rare. A 71-year-old male presented to our hospital with a rapidly enlarging hard palpable penile mass. MR imaging demonstrated two penile masses center...

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Main Authors: Partha Hota, Tejas N. Patel, Xiaofeng Zhao, Carrie Schneider, Omar Agosto
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2018/8361368
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author Partha Hota
Tejas N. Patel
Xiaofeng Zhao
Carrie Schneider
Omar Agosto
author_facet Partha Hota
Tejas N. Patel
Xiaofeng Zhao
Carrie Schneider
Omar Agosto
author_sort Partha Hota
collection DOAJ
description Although lung cancer has a high propensity for distant metastatic disease, penile metastases from primary lung neoplasms are considered particularly rare. A 71-year-old male presented to our hospital with a rapidly enlarging hard palpable penile mass. MR imaging demonstrated two penile masses centered in the left and right corpus cavernosa. Subsequent CT imaging revealed a spiculated pulmonary mass in the right upper lobe with PET/CT, MRI, and surgical exploration, demonstrating evidence of metastases to the left adrenal gland, right subscapularis muscle, brain, and small bowel. Tissue sampling of lesions in the small bowel, right subscapularis muscle, and penis demonstrated histopathology consistent with an adenosquamous carcinoma which in combination with the appearance of the right upper lobe mass on PET/CT imaging suggested the patient’s lung cancer as the primary lesion. Prior to our case, pulmonary adenosquamous carcinoma metastasizing to the penis has only been reported once in the literature. Herein, we report a rare case of penile metastases as the presenting sign of metastatic pulmonary adenosquamous carcinoma characterized with PET/CT and MR imaging.
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institution Kabale University
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series Case Reports in Radiology
spelling doaj-art-b7b201434bcf47d699b882e95fb197622025-02-03T01:10:34ZengWileyCase Reports in Radiology2090-68622090-68702018-01-01201810.1155/2018/83613688361368A Rare Case of Penile Metastases as a Harbinger of Primary Pulmonary Adenosquamous CarcinomaPartha Hota0Tejas N. Patel1Xiaofeng Zhao2Carrie Schneider3Omar Agosto4Division of Abdominal Imaging, Department of Radiology, Temple University Hospital, Philadelphia, PA, USADivision of Abdominal Imaging, Atlantic Medical Imaging, Galloway, NJ, USADepartment of Pathology, Temple University Hospital, Philadelphia, PA, USADepartment of Pathology, Temple University Hospital, Philadelphia, PA, USADivision of Abdominal Imaging, Department of Radiology, Temple University Hospital, Philadelphia, PA, USAAlthough lung cancer has a high propensity for distant metastatic disease, penile metastases from primary lung neoplasms are considered particularly rare. A 71-year-old male presented to our hospital with a rapidly enlarging hard palpable penile mass. MR imaging demonstrated two penile masses centered in the left and right corpus cavernosa. Subsequent CT imaging revealed a spiculated pulmonary mass in the right upper lobe with PET/CT, MRI, and surgical exploration, demonstrating evidence of metastases to the left adrenal gland, right subscapularis muscle, brain, and small bowel. Tissue sampling of lesions in the small bowel, right subscapularis muscle, and penis demonstrated histopathology consistent with an adenosquamous carcinoma which in combination with the appearance of the right upper lobe mass on PET/CT imaging suggested the patient’s lung cancer as the primary lesion. Prior to our case, pulmonary adenosquamous carcinoma metastasizing to the penis has only been reported once in the literature. Herein, we report a rare case of penile metastases as the presenting sign of metastatic pulmonary adenosquamous carcinoma characterized with PET/CT and MR imaging.http://dx.doi.org/10.1155/2018/8361368
spellingShingle Partha Hota
Tejas N. Patel
Xiaofeng Zhao
Carrie Schneider
Omar Agosto
A Rare Case of Penile Metastases as a Harbinger of Primary Pulmonary Adenosquamous Carcinoma
Case Reports in Radiology
title A Rare Case of Penile Metastases as a Harbinger of Primary Pulmonary Adenosquamous Carcinoma
title_full A Rare Case of Penile Metastases as a Harbinger of Primary Pulmonary Adenosquamous Carcinoma
title_fullStr A Rare Case of Penile Metastases as a Harbinger of Primary Pulmonary Adenosquamous Carcinoma
title_full_unstemmed A Rare Case of Penile Metastases as a Harbinger of Primary Pulmonary Adenosquamous Carcinoma
title_short A Rare Case of Penile Metastases as a Harbinger of Primary Pulmonary Adenosquamous Carcinoma
title_sort rare case of penile metastases as a harbinger of primary pulmonary adenosquamous carcinoma
url http://dx.doi.org/10.1155/2018/8361368
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