Priapism due to solid malignancy

Krco, Michael J.; Jacobs, Stephen C.; Lawson, Russell K.

doi:10.1016/s0090-4295(84)90043-8

Cited by 20 publications

(7 citation statements)

References 15 publications

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“…Malignant priapism is an uncommon condition that is caused by metastasis of solid tumors to the penis, most frequently from the bladder and prostate (32% and 28%, respectively), the kidney (17%), and the gastrointestinal tract (8%). These tumors rarely arise from primary sources in the testes, lung, liver, bone, or from sarcomas [3]. The mechanism of malignant priapism may be due to extensive organ replacement by carcinoma, venous obstruction by tumor, or continual stimulus to the erectile afferent or efferent neural pathways [4].…”

Section: Definitionmentioning

confidence: 99%

The etiology, diagnosis, and treatment of priapism: Review of the American Foundation for Urologic Disease Consensus Panel report

Sadeghi‐Nejad¹,

Seftel

2002

Curr Urol Rep

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Priapism is an important medical condition that requires immediate evaluation, and depending on etiology, may require emergency management. Based on the classification scheme offered by a recent consensus panel, priapism can be subdivided into ischemic and nonischemic types. The nonischemic type, usually the result of perineal trauma, can be treated with conservative therapy, whereas the nonischemic type, which arises from many varied causes, mandates immediate intervention. Corporal fibrosis and permanent erectile dysfunction can result from ischemic priapism that fails to resolve with therapy.

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Section: Definitionmentioning

confidence: 99%

The etiology, diagnosis, and treatment of priapism: Review of the American Foundation for Urologic Disease Consensus Panel report

Sadeghi‐Nejad¹,

Seftel

2002

Curr Urol Rep

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“…(1) The most significant statistical difference in sur vival time was found to be that between cases presenting [3] 7 Melicow and Ghanem [4] 7 Melicow and Ghanem [4] 7 Baker [5] 1 Baker [5] 4 Fori et al [31] 7 Poulasse [6] 1 Shklorskaia and Gormak [42] 7 Paquin and Roland [7] 6 Paquin and Roland [7] 0.5 Knolle [38] 0.5 Aboulker et al [ [11] 0.5 Hayes and Young [11] 0.03 Hayes and Young [11] 0.75 Hayes and Young [11] 1 Bachrach and Dahlen [ 13] 0.03 Krco et al [23] 4 Krco et al [23] 7 Krco et al [23] 2 Average 2.0 with pain (average survival 5.7 months) and those pre senting with priapism (average survival 1.5 months); this difference was statistically very significant (t = 2.9 at p = 0.01); patients who presented with priapism survived 3 times less than patients presenting with pain.…”

Section: Prognosismentioning

confidence: 99%

Penile Metastases Secondary to Bladder Cancer

Haddad¹

1984

Urol Int

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73 cases of penile metastatic tumors secondary to bladder cancer have been collected from the literature. The cases are reviewed in regard to incidence, geographical distribution, age, interval between diagnosis of bladder cancer and appearance of penile metastases, symptoms, physical examination, endoscopy, diagnosis, differential diagnosis, routes of metastases, pathology, treatment, and prognosis. The spread of the tumor in and along prostatic nerves is documented.

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“…Their appearance is associated with blood stasis and congestion, due to neoplastic infiltration of the corpora cavernosa. 15 When present as penile nodules, they tend to be multiple and most commonly infiltrate the corpora cavernosa and rarely the corpus spongiosum and glans penis. 3 In our cases, we were able to establish the diagnosis of metastatic carcinomas, because the aspirated material ex- hibited cytomorphologic features characteristic of the primary, already known, neoplastic site.…”

Section: Discussionmentioning

confidence: 99%

Fine‐needle aspiration of secondary malignancies of the penis: A report of three cases

Tsanou

Sintou-Mantela

Pappa

et al. 2003

Diagnostic Cytopathology

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Metastatic malignancy to the penis is an uncommon clinicopathologic entity, with only 300 cases reported since 1870. Of the reported cases, 75% were secondary to genitourinary primary tumors. Priapism is the most frequent symptom, although dysuria, ulceration, and node formation have also been described. We report three cases of penile metastatic involvement from primary tumors in the urinary bladder (two cases) and prostate (one case), respectively. Fine-needle aspiration (FNA) cytology from the penile nodules was performed in each case. The smears in all cases were highly cellular, and atypical neoplastic cells were observed singly, in clusters, or in papillary formations. The cells were pleomorphic with hyperchromatic nuclei and prominent nucleoli. Immunocytochemistry was performed for keratin 8 and 18 and prostatic-specific antigen (PSA). In conclusion, although it has rarely been used as a diagnostic tool, FNA of the penis can be proved effective and safe in diagnosing a suspected secondary malignancy.

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Priapism due to solid malignancy

Cited by 20 publications

References 15 publications

The etiology, diagnosis, and treatment of priapism: Review of the American Foundation for Urologic Disease Consensus Panel report

The etiology, diagnosis, and treatment of priapism: Review of the American Foundation for Urologic Disease Consensus Panel report

Penile Metastases Secondary to Bladder Cancer

Fine‐needle aspiration of secondary malignancies of the penis: A report of three cases

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