A rare case of penile cancer in situ metastasizing to lymph nodes

Authors

  • Brian Kim Department of Medical Education, Faculty of Medicine, University of Toronto, Toronto, ON
  • Francisco Garcia †Schulich School of Medicine and Dentistry, Faculty of Medicine, University of Western Ontario, London, ON
  • Naji Touma Department of Surgery, the Division of Urology, University of Western Ontario, London, ON
  • Madeleine Moussa Departments of Pathology and Oncology, University of Western Ontario, London Health Sciences Centre and London Regional Cancer Program, London, ON
  • Jonathan I. Izawa Schulich School of Medicine and Dentistry, Faculty of Medicine, University of Western Ontario, Division of Urology, Department of Oncology, University of Western Ontario, London Health Sciences Centre and London Regional Cancer Program, London, ON

DOI:

https://doi.org/10.5489/cuaj.458

Abstract

Penile carcinoma in situ, or Queyrat’s erythroplasia, is a rare condition of the
glans penis. This lesion has been associated with invasive squamous cell carcinoma;
however, metastasis without an invasive component is extremely rare.
There have only been 2 documented cases with metachronous metastases.
We report a third case in which metastases were diagnosed at presentation. The
patient was a 51-year-old man who presented with a glans penile lesion and
bilateral inguinal masses later determined to be carcinoma in situ with metastases
to the inguinal and pelvic lymph nodes. He subsequently underwent a partial
penectomy and lymphadenectomy followed by adjuvant chemotherapy and
radiation. This case is discussed, along with a brief review of the literature.

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Author Biographies

Brian Kim, Department of Medical Education, Faculty of Medicine, University of Toronto, Toronto, ON

Francisco Garcia, †Schulich School of Medicine and Dentistry, Faculty of Medicine, University of Western Ontario, London, ON

Naji Touma, Department of Surgery, the Division of Urology, University of Western Ontario, London, ON

Madeleine Moussa, Departments of Pathology and Oncology, University of Western Ontario, London Health Sciences Centre and London Regional Cancer Program, London, ON

Jonathan I. Izawa, Schulich School of Medicine and Dentistry, Faculty of Medicine, University of Western Ontario, Division of Urology, Department of Oncology, University of Western Ontario, London Health Sciences Centre and London Regional Cancer Program, London, ON

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How to Cite

Kim, B., Garcia, F., Touma, N., Moussa, M., & Izawa, J. I. (2013). A rare case of penile cancer in situ metastasizing to lymph nodes. Canadian Urological Association Journal, 1(4), 404–7. https://doi.org/10.5489/cuaj.458

Issue

Vol. 1 No. 4 (2007): CUAJ November

Section

Case Report

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