British Journal of Urology (1979). 5 1 , 4 6
Case Reports
Leiomyosarcoma of the Penis Case Report A 60-year-old Zambian male presented with a 1 month
history of a painful swelling of the penis. Physical examination showed a firm tubular swelling along the penile urethra. The overlying skin was freely mobile. Regional lymph nodes were not enlarged. A chest X-ray was normal. The mass and the spongy urethra were excised. The tumour (Fig. 1) originated from the entire length of the corpus spongiosum. The cavernous tissue was not involved. A histological diagnosis of poorly
Fig. 2
differentiated leiomyosarcoma (Fig. 2) was made. The patient died 4 weeks later and post-mortem examination showed metastases to the deep inguinal nodes, pelvic nodes and both lungs.
Comment Leiomyosarcoma of the penis is rare. Only 1 1 cases have been described in the English literature (Hamal, 1975). McKenzie Pratt and Ross (1969) divided such tumours into 2 groups according to the site of origin. This case appears to belong to the second group but demonstrates some unusual features. Origin of the tumour from the corpus spongiosum and metastasis to the deep inguinal nodes have not been previously reported. Wide dissemination of the tumour soon after surgery with early death has been observed in only 1 case (Bakken et al., 1968). Leiomyosarcoma of the penis usually carries a better prognosis, and widespread metastasis with early death may be a feature of the highly anaplastic type of tumour. Ref ecences Hamal, P. B. (1975). Leiomyosarcoma of the penis-case report and review of the literature. British Journal 01 Urology, 47, 3 19-324.
McKenzie Prntt, R. and Ross, R. T. A. (1969). Leiomyosarcoma of the Penis. British Journal of Surgery, 56, 870-872. Bnkken, C. L., Hanna, E. A. and Seybold. H. M. (1968).
Leiom yosarcoma of the Penis. Journal o/ Urology, 99. 769-771.
The Authors B. Elem and J. Nieslnnik, Department of Urology, Ndola Central Hospital, P. A. Ndola, Zambia.
Fig. 1
46
Case Reports
Leiomyosarcoma of the Penis Case Report A 60-year-old Zambian male presented with a 1 month
history of a painful swelling of the penis. Physical examination showed a firm tubular swelling along the penile urethra. The overlying skin was freely mobile. Regional lymph nodes were not enlarged. A chest X-ray was normal. The mass and the spongy urethra were excised. The tumour (Fig. 1) originated from the entire length of the corpus spongiosum. The cavernous tissue was not involved. A histological diagnosis of poorly
Fig. 2
differentiated leiomyosarcoma (Fig. 2) was made. The patient died 4 weeks later and post-mortem examination showed metastases to the deep inguinal nodes, pelvic nodes and both lungs.
Comment Leiomyosarcoma of the penis is rare. Only 1 1 cases have been described in the English literature (Hamal, 1975). McKenzie Pratt and Ross (1969) divided such tumours into 2 groups according to the site of origin. This case appears to belong to the second group but demonstrates some unusual features. Origin of the tumour from the corpus spongiosum and metastasis to the deep inguinal nodes have not been previously reported. Wide dissemination of the tumour soon after surgery with early death has been observed in only 1 case (Bakken et al., 1968). Leiomyosarcoma of the penis usually carries a better prognosis, and widespread metastasis with early death may be a feature of the highly anaplastic type of tumour. Ref ecences Hamal, P. B. (1975). Leiomyosarcoma of the penis-case report and review of the literature. British Journal 01 Urology, 47, 3 19-324.
McKenzie Prntt, R. and Ross, R. T. A. (1969). Leiomyosarcoma of the Penis. British Journal of Surgery, 56, 870-872. Bnkken, C. L., Hanna, E. A. and Seybold. H. M. (1968).
Leiom yosarcoma of the Penis. Journal o/ Urology, 99. 769-771.
The Authors B. Elem and J. Nieslnnik, Department of Urology, Ndola Central Hospital, P. A. Ndola, Zambia.
Fig. 1
46
