Total penectomy as treatment option for solitary penile metastasis in hormone sensitive metastatic prostate cancer (mHSPC): Case report with surgical technique

We present a case of a 66-year-old man with a three-year history of Gleason 10 prostate cancer (PCa), who presented with penile pain, erythema, and induration of the penile shaft. His cancer was treated with androgen deprivation therapy (ADT), radiotherapy, and apalutamide, resulting in PSA reductio...

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Main Authors: M. Vukovic, M. Albijanic, N. Radovic
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442024002535
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author M. Vukovic
M. Albijanic
N. Radovic
author_facet M. Vukovic
M. Albijanic
N. Radovic
author_sort M. Vukovic
collection DOAJ
description We present a case of a 66-year-old man with a three-year history of Gleason 10 prostate cancer (PCa), who presented with penile pain, erythema, and induration of the penile shaft. His cancer was treated with androgen deprivation therapy (ADT), radiotherapy, and apalutamide, resulting in PSA reduction; however, a solitary penile lesion persisted, necessitating radical penectomy. At 12 months post-surgery, PSA levels and magnetic resonance imaging findings remained stable, with no signs of metastasis. This case highlights the viability of radical penectomy for solitary penile metastasis in hormone-sensitive metastatic prostate cancer (mHSPC), with potential benefits for symptom control and survival.
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series Urology Case Reports
spelling doaj-art-3685e7b437544ca398bd9cedf48d931b2025-01-14T04:12:18ZengElsevierUrology Case Reports2214-44202025-01-0158102899Total penectomy as treatment option for solitary penile metastasis in hormone sensitive metastatic prostate cancer (mHSPC): Case report with surgical techniqueM. Vukovic0M. Albijanic1N. Radovic2Corresponding author.; Department of Urology, Clinical Centre of Montenegro, Ljubljanska bb, 81000, Podgorica, MontenegroDepartment of Urology, Clinical Centre of Montenegro, Ljubljanska bb, 81000, Podgorica, MontenegroDepartment of Urology, Clinical Centre of Montenegro, Ljubljanska bb, 81000, Podgorica, MontenegroWe present a case of a 66-year-old man with a three-year history of Gleason 10 prostate cancer (PCa), who presented with penile pain, erythema, and induration of the penile shaft. His cancer was treated with androgen deprivation therapy (ADT), radiotherapy, and apalutamide, resulting in PSA reduction; however, a solitary penile lesion persisted, necessitating radical penectomy. At 12 months post-surgery, PSA levels and magnetic resonance imaging findings remained stable, with no signs of metastasis. This case highlights the viability of radical penectomy for solitary penile metastasis in hormone-sensitive metastatic prostate cancer (mHSPC), with potential benefits for symptom control and survival.http://www.sciencedirect.com/science/article/pii/S2214442024002535Penile metastasisRadical penectomy
spellingShingle M. Vukovic
M. Albijanic
N. Radovic
Total penectomy as treatment option for solitary penile metastasis in hormone sensitive metastatic prostate cancer (mHSPC): Case report with surgical technique
Urology Case Reports
Penile metastasis
Radical penectomy
title Total penectomy as treatment option for solitary penile metastasis in hormone sensitive metastatic prostate cancer (mHSPC): Case report with surgical technique
title_full Total penectomy as treatment option for solitary penile metastasis in hormone sensitive metastatic prostate cancer (mHSPC): Case report with surgical technique
title_fullStr Total penectomy as treatment option for solitary penile metastasis in hormone sensitive metastatic prostate cancer (mHSPC): Case report with surgical technique
title_full_unstemmed Total penectomy as treatment option for solitary penile metastasis in hormone sensitive metastatic prostate cancer (mHSPC): Case report with surgical technique
title_short Total penectomy as treatment option for solitary penile metastasis in hormone sensitive metastatic prostate cancer (mHSPC): Case report with surgical technique
title_sort total penectomy as treatment option for solitary penile metastasis in hormone sensitive metastatic prostate cancer mhspc case report with surgical technique
topic Penile metastasis
Radical penectomy
url http://www.sciencedirect.com/science/article/pii/S2214442024002535
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AT malbijanic totalpenectomyastreatmentoptionforsolitarypenilemetastasisinhormonesensitivemetastaticprostatecancermhspccasereportwithsurgicaltechnique
AT nradovic totalpenectomyastreatmentoptionforsolitarypenilemetastasisinhormonesensitivemetastaticprostatecancermhspccasereportwithsurgicaltechnique