XXXX of the penis and epididymis: a case report and review of the literature.

@entity1 @entity5 @entity189 @entity3 @entity4265
A @entity1 with @entity189 of the colon developed @entity3 to the penis and @entity4265 . These two organs are rare locations for @entity3 and the concurrent involvement of both sites has not been previously described. Our @entity1 and the results of a literature review are presented. Two hundred eighteen cases of penile and 37 separate cases of epididymal @entity3 were identified. The genitourinary and gastrointestinal tracts were the predominant sites of the primary @entity5 . Presenting symptoms, the interval between diagnoses of the primary and metastatic lesions, and the therapy of the penile/epididymal deposits varied greatly. Surgical excision is the major mode of therapy; radiotherapy, chemotherapy, or hormonal therapy may be beneficial in selected cases. Survival among these @entity1 is poor due to the presence in most @entity1 of widespread @entity3 in addition to their genital lesions. However, instances of prolonged survival are noted in both groups. @entity1 characteristics and possible mechanisms of metastatic spread to the genitals are discussed.
