Presentation
Squamous cell carcinoma - penis. Partial amputation in 2k10.
Patient Data
US for swelling at base of...
US for swelling at base of penis noticed for 2 wks. Study done in 2012.
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.
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 & a radioRx cycle during 2k12 & early 2k13. Swelling at base of penis regressed. Now complaint of anorexia vomiting for 10 days. Study done in last mth of 2013.
No parenchymal nodule. Old healed fracture of few right sided ribs.
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 favor 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.