Skip to main content

Advertisement

Log in

A Case of Urethral Metastasis from Sigmoid Colon Cancer Diagnostically and Prognostically Indicated by F-18 FDG PET/CT

  • Case Report
  • Published:
Nuclear Medicine and Molecular Imaging Aims and scope Submit manuscript

Abstract

Urethral metastasis from colorectal cancer is rare and is known to have a poor prognosis. A 72-year-old man with a history of colectomy and colostomy due to sigmoid colon cancer was admitted to the emergency room with bowel distension, rectal bleeding and urinary symptoms. Computed tomography of the abdominopelvis showed sigmoid colon cancer with multiple metastases involving the liver. Positron emission tomography with F-18 fluorodeoxyglucose (FDG) showed multiple hypermetabolic foci in the liver, penis and pubic bone, which otherwise could not be diagnosed. The lesions revealed no improvement with chemotherapy and urological surgery on follow-up F-18 FDG PET/CT. We present a case of urethral metastasis of sigmoid colon cancer diagnostically and prognostically indicated by F-18 FDG PET/CT.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Chang YH, Chuang CK, Ng KF, Liao SK. Urethral metastasis from a colon carcinoma. Urology. 2007;69:575.

    Article  PubMed  Google Scholar 

  2. Noorani S, Rao AR, Callaghan PS. Urethral metastasis: an uncommon presentation of a colonic adenocarcinoma. Int Urol Nephrol. 2007;39:837–9.

    Article  PubMed  Google Scholar 

  3. Chitale SV, Burgess NA, Sethia KK, et al. Management of urethral metastasis from colorectal carcinomas. ANZ J Surg. 2004;74:925–7.

    Article  PubMed  CAS  Google Scholar 

  4. Tefilli MV, Stefani SD, Mariano MB. Urethral metastasis of lung carcinoma with germinative cell features. Int Braz J Urol. 2003;29:431–3.

    Article  PubMed  Google Scholar 

  5. Okaneya T, Inoue Y, Ogawa A. Solitary urethral recurrence of sigmoid colon carcinoma. Urol Int. 1991;47:105–7.

    Article  PubMed  CAS  Google Scholar 

  6. Fukata S, Inoue K, Moriki T, et al. A solitary metastasis of renal cell carcinoma to the urethra. J Urol. 2000;163:1245–6.

    Article  PubMed  CAS  Google Scholar 

  7. Kupfer HW, Theunissen P, Delaere KP. Urethral metastasis from a rectal carcinoma. Acta Urol Belg. 1995;63:31–2.

    PubMed  CAS  Google Scholar 

  8. Selikowitz SM, Olsson CA. Metastatic urethral obstruction. Arch Surg. 1973;107:906–8.

    PubMed  CAS  Google Scholar 

  9. Roberts TW, Melicow MM. Pathology and natural history of urethral tumours in females: review of 65 cases. Urology. 1978;10:583–9.

    Article  Google Scholar 

  10. Stragier J, Van-Poppel H, Mertens V, et al. Adenocarcinoma of the rectum with a solitary metastasis to the urethra in a female. Eur J Surg Oncol. 1994;20:696–7.

    PubMed  CAS  Google Scholar 

  11. Madaan S, Vohra AK, Riaz A, et al. Urethral metastasis from rectal adenocarcinoma. BJU Int. 2000;86:401–3.

    Article  Google Scholar 

  12. Bosch PC, Forbes KA, Kollin J, Golji H, Miller JB. Secondary carcinoma of the penis. J Urol. 1984;132:990–1.

    PubMed  CAS  Google Scholar 

  13. Tot T. Cytokeratins 20 and 7 as biomarkers: usefulness in discriminating primary from metastatic adenocarcinoma. Eur J Cancer. 2002;38:758–63.

    Article  PubMed  CAS  Google Scholar 

  14. Li MK, Folpe AL. CDX-2, a new marker for adenocarcinoma of gastrointestinal origin. Adv Anat Pathol. 2004;11:101–5.

    Article  PubMed  CAS  Google Scholar 

  15. Appu S, Lawrentschuk N, Russell JM, Bright NF. Metachronous metastasis to the penis from carcinoma of the rectum. Int J Urol. 2006;13:659–61.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eun Sil Kim.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Seo, H.S., Kim, E.S., Kim, S. et al. A Case of Urethral Metastasis from Sigmoid Colon Cancer Diagnostically and Prognostically Indicated by F-18 FDG PET/CT. Nucl Med Mol Imaging 45, 319–323 (2011). https://doi.org/10.1007/s13139-011-0101-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13139-011-0101-0

Keywords

Navigation