Miles rectal adenocarcinoma after transfer of one case of penis_0.doc

 PAGE \* MERGEFORMAT 5 Miles rectal adenocarcinoma after transfer of one case of penis [Keywords:] rectal adenocarcinoma; surgery; transfer A case report Male patient, 46 years old. In July 2007 because of low rectal cancer rectal cancer into our hospital, sigmoid colostomy, postoperative pathologic examination: rectal ulcer differentiated adenocarcinoma. Postoperative recovery was good. After the Olympics oxaliplatin 200mg first day, leucovorin 300mg + 500mg fluorouracil chemotherapy for 5 days, a total of 6 cycles of chemotherapy treatment. follow-up period does not apply to no other special .2010 stumbled in early May were there about penis dorsal root bean-sized nodules, mild pain during erection, erection no significant change in nodule size, nodule growth was no significant progressive, hard, can contribute, no swelling, burning, and ulceration, no abnormal discharge, anuria pain, hematuria, no dysuria, does not affect sex life. denying trauma, infection, injection, and the history of .2010 Excursion in mid-May to take in the outer nodule biopsy showed “mucinous adenocarcinoma, multi-system cancer metastasis,” .2010 in early June to our hospital, admission examination: no penis erection, penis with a length of about 1cm dorsal longitudinal scar, no swelling, ulceration and abnormal secretion of about 2cm away from the dorsal root of the penis can reach about 0.5 cavernous cm 0.5cm size and quality of hard nodules, clear boundaries, activity is poor, no swelling, no burning, no adhesive, no tenderness. double groin Swollen lymph nodes are not touched. Abdominal B-, CT, chest X-ray examination found no abnormalities. reject some or all of the penis in patients with resection, chemotherapy and local radiotherapy given. is patient follow-up. 2 Discussion Cancer metastasis primarily through lymphatic and hematogenous metastasis, and more in the liver, lungs and bone. Penile metastases secondary to many other parts of the urinary tract. After re