Femoral Metastasis from Penile Carcinoma: Report of 2 Cases

Abstract

Purpose . Penile cancer rarely gives symptomatic skeletal metastases. Methods . We present 2 patients with squamous carcinoma of the penis who were surgically treated for metastases in the femur. Results . Both patients had pathological fractures and were operated on. In one case, the skeletal metastasis preceded any lymphatic spread of the disease, suggesting early haematogenous dissemination. Conclusions . Endoprosthetic reconstruction resulted in pain relief and restored the ambulatory capacity. Clinicians should be aware of the possibility for symptomatic bone metastases with a risk for pathological fracture in patients with penile cancer.