Scrotal Skin Metastases Revealing a Prostatic Adenocarcinoma
Introduction. Prostate cancer is the most common cancer in men. Cutaneous metastasis from prostate cancer is an unusual clinical finding. Scrotal skin metastasis revealing a prostate adenocarcinoma is even rarer. Case Report. We report the case of a 78-year-old patient, who initially consulted for n...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2020/8826627 |
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| author | Idriss Ziani Zayd El Boukili El Makhoukh Ahmed Ibrahimi Omar Bellouki Jihane Benahmed Yasmine Laraqui Fouad Zouidia Hachem El Sayegh Lounis Benslimane Yassine Nouini |
| author_facet | Idriss Ziani Zayd El Boukili El Makhoukh Ahmed Ibrahimi Omar Bellouki Jihane Benahmed Yasmine Laraqui Fouad Zouidia Hachem El Sayegh Lounis Benslimane Yassine Nouini |
| author_sort | Idriss Ziani |
| collection | DOAJ |
| description | Introduction. Prostate cancer is the most common cancer in men. Cutaneous metastasis from prostate cancer is an unusual clinical finding. Scrotal skin metastasis revealing a prostate adenocarcinoma is even rarer. Case Report. We report the case of a 78-year-old patient, who initially consulted for nonspecific scrotal skin lesions evolving for 4 months. Patient’s past history revealed urinary disorders. Physical examination and PSA levels led to perform a prostate biopsy, and the diagnosis of prostate adenocarcinoma was made. Bone scintigraphy showed that the cancer has spread to the bones. Imaging studies showed that the cutaneous lesions were limited to the scrotal wall. Cutaneous metastasis was suspected and was proven on skin biopsy. The patient received second-generation hormone therapy with good clinical and biological outcomes. Discussion. Based on literature review of nearly 2,500 skin metastases, we found that only 436 were spreading from the genitourinary tract. Skin metastasis from prostate adenocarcinoma is a rare entity with a low incidence rate (0.36%). Conclusion. Skin metastases, and especially in the scrotum, are exceptional in prostate cancer. However, in any patient with a prostate adenocarcinoma, nonspecific cutaneous lesions should lead to perform skin biopsy in order to identify and initiate treatment of cutaneous metastases. |
| format | Article |
| id | doaj-art-f1d25621872346ddaebb6f19600b84fd |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-f1d25621872346ddaebb6f19600b84fd2025-02-03T01:27:57ZengWileyCase Reports in Urology2090-696X2090-69782020-01-01202010.1155/2020/88266278826627Scrotal Skin Metastases Revealing a Prostatic AdenocarcinomaIdriss Ziani0Zayd El Boukili El Makhoukh1Ahmed Ibrahimi2Omar Bellouki3Jihane Benahmed4Yasmine Laraqui5Fouad Zouidia6Hachem El Sayegh7Lounis Benslimane8Yassine Nouini9Department of urological surgery “A”-Ibn Sina University Hospital RABAT-Faculty of Medicine of RABAT, Mohammed V University, Rabat, MoroccoDepartment of urological surgery “A”-Ibn Sina University Hospital RABAT-Faculty of Medicine of RABAT, Mohammed V University, Rabat, MoroccoDepartment of urological surgery “A”-Ibn Sina University Hospital RABAT-Faculty of Medicine of RABAT, Mohammed V University, Rabat, MoroccoDepartment of urological surgery “A”-Ibn Sina University Hospital RABAT-Faculty of Medicine of RABAT, Mohammed V University, Rabat, MoroccoDepartment of dermatology and venereology-Ibn Sina University Hospital RABAT-Faculty of Medicine of RABAT, Mohammed V University, Rabat, MoroccoDepartment of Anatomopathology and Cytology-Ibn Sina University Hospital RABAT-Faculty of Medicine of RABAT, Mohammed V University, Rabat, MoroccoDepartment of Anatomopathology and Cytology-Ibn Sina University Hospital RABAT-Faculty of Medicine of RABAT, Mohammed V University, Rabat, MoroccoDepartment of urological surgery “A”-Ibn Sina University Hospital RABAT-Faculty of Medicine of RABAT, Mohammed V University, Rabat, MoroccoDepartment of urological surgery “A”-Ibn Sina University Hospital RABAT-Faculty of Medicine of RABAT, Mohammed V University, Rabat, MoroccoDepartment of urological surgery “A”-Ibn Sina University Hospital RABAT-Faculty of Medicine of RABAT, Mohammed V University, Rabat, MoroccoIntroduction. Prostate cancer is the most common cancer in men. Cutaneous metastasis from prostate cancer is an unusual clinical finding. Scrotal skin metastasis revealing a prostate adenocarcinoma is even rarer. Case Report. We report the case of a 78-year-old patient, who initially consulted for nonspecific scrotal skin lesions evolving for 4 months. Patient’s past history revealed urinary disorders. Physical examination and PSA levels led to perform a prostate biopsy, and the diagnosis of prostate adenocarcinoma was made. Bone scintigraphy showed that the cancer has spread to the bones. Imaging studies showed that the cutaneous lesions were limited to the scrotal wall. Cutaneous metastasis was suspected and was proven on skin biopsy. The patient received second-generation hormone therapy with good clinical and biological outcomes. Discussion. Based on literature review of nearly 2,500 skin metastases, we found that only 436 were spreading from the genitourinary tract. Skin metastasis from prostate adenocarcinoma is a rare entity with a low incidence rate (0.36%). Conclusion. Skin metastases, and especially in the scrotum, are exceptional in prostate cancer. However, in any patient with a prostate adenocarcinoma, nonspecific cutaneous lesions should lead to perform skin biopsy in order to identify and initiate treatment of cutaneous metastases.http://dx.doi.org/10.1155/2020/8826627 |
| spellingShingle | Idriss Ziani Zayd El Boukili El Makhoukh Ahmed Ibrahimi Omar Bellouki Jihane Benahmed Yasmine Laraqui Fouad Zouidia Hachem El Sayegh Lounis Benslimane Yassine Nouini Scrotal Skin Metastases Revealing a Prostatic Adenocarcinoma Case Reports in Urology |
| title | Scrotal Skin Metastases Revealing a Prostatic Adenocarcinoma |
| title_full | Scrotal Skin Metastases Revealing a Prostatic Adenocarcinoma |
| title_fullStr | Scrotal Skin Metastases Revealing a Prostatic Adenocarcinoma |
| title_full_unstemmed | Scrotal Skin Metastases Revealing a Prostatic Adenocarcinoma |
| title_short | Scrotal Skin Metastases Revealing a Prostatic Adenocarcinoma |
| title_sort | scrotal skin metastases revealing a prostatic adenocarcinoma |
| url | http://dx.doi.org/10.1155/2020/8826627 |
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