Squamous cell carcinoma of penis - recurrence

Case contributed by Dr Maulik S Patel

Presentation

Squamous cell carcinoma - penis. Partial amputation in 2k10.

Patient Data

Age: 55 yrs at 1st ultrasound study
Gender: Male

Ultrasound for swelling at base of penis noticed for 2 wks. Study done in 2012.

Modality: Ultrasound

A solid mass lesion with cysitc area containing echoes is noted at base of penis. It mesures 33 x 29 x 37 mm.

Solid part shows vascularity with tiny calcification foci.

Lesion involves base of entire left corpus cavernosum.

Base of Right corpus cavernosum is probably involved.

Corpus spingiosum is spared by the lesion.

 

Right testis : normal ( image not uploaded ) 

Left  testis :  normal ( Image not uploaded )

 Bilateral inguinal nodes are noted.

One of the right inguinal node shows asymmetric cortical thickening with peripheral vascularity. It shows preserved hilar fat.

Rest of the bilateral nodes show normal morphology.

 

Patient was treated for recurrence at base of penis. Few cycles of chemotheraphy and a radiotherapy cycle during 2k12 and early 2k13. Swelling at base of penis regressed. Now complaint of anorexia, vomiting for 10 days. Study done in last month of 2013.

Modality: X-ray

No parenchymal nodule. Old healed fracture of few right sided ribs.

Study along with chest radiograph

Modality: Ultrasound

Well-defined hypoechoic ovoid lesions are noted in bilateral supra-renal regions, without calcification / cystic changes.

Right measures 50 x 37 mm

Left measures 70 x 40 mm.

Liver, spleen, pancreas, both kidneys are normal. No para-aortic nodes localized. 

 

Case Discussion

Findings favour  twice recurrence of squamous cell carcinoma of penis.

1st treatment was partial amputation of penis.

1st time local recurrence at base of penis with probable right inguinal node involvement.This was treated with chemo-radiotheraphy.

Bilateral adrenal solid lesions are presumed to be second recurrence - metastasis. 

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Case Information

rID: 26720
Case created: 4th Jan 2014
Last edited: 18th Dec 2015
System: Urogenital
Inclusion in quiz mode: Included

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