直腸癌陰茎転移の1例

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  • A Case of Rectal Cancer Associated with Penile Metastasis.

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A case of rectal cancer associated with penile metastasis is reported. The patient underwent an abdominoperineal resection of the rectum (Miles'operation). total prostatectomy and ureterocystostomy at the age of 51. At the age of 57, he was hospitalized again because of local recurrence revealed by CT, MRI and internal iliac artery angiography. He was treated with intraarterial injection of epirubicin 30mg and mitomycin C 10mg in additiom to radiation therapy (total radiation dose was 60 Gy). Four months later, radiation therapy was performed on the right inguinal lesion due to lymph node metastasis (total radiation dose was 60 Gy). Eight months later, hard nodules on the glans and the shaft of the penis were found, which were confirmed to be penile metastasis of rectal cancer by biopsy. This is the eleventh case of penile metastasis of rectal cancer in Japan. Either retrograde venous transplant or retrograde lymphatic permeation was suspected as the mechanism of metastasis.

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