Abstract

We report a case of penis cancer at the military hospital in Rabat, about a 75-year-old patient with a history of a bladder tumor that has been treated with radical cysto-prostatectomy with bilateral ilio-obturator scouring and Briker-type urinary diversion. The symptoms were marked by the appearance of an induration of the left corpus cavernosum in its proximal part on a normal penile skin. The biopsy was not possible and MRI was inconclusive, the FDG-PET/CT played a relevant role detecting tumor mass and lymph node metastases. The treatment, after multidisciplinary discussion, consisted of a total penectomy with bilateral orchiectomy completed secondarily by bilateral inguinal scraping. The evolution was marked by the appearance of skin metastases and the death of the patient during chemotherapy.

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