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Article
January 1969

Priapism as the Initial Manifestation of Renal Carcinoma

Author Affiliations

Atlanta

From the departments of medicine (Drs. Weisman and Hardison) and radiology (Dr. Burns), Emory University School of Medicine, and the Medical and Radiologic Services, Veterans Administration Hospital, Atlanta.

Arch Intern Med. 1969;123(1):58-59. doi:10.1001/archinte.1969.00300110060011
Abstract

The more common causes of priapism are neurogenic stimuli (which include psychic, central nervous system, and local reflex stimulation), hematological disorders, (chronic myelogenous leukemia and certain hemoglobinopathies), and local mechanical or traumatic conditions.1 Priapism secondary to metastatic disease involving the penis is rare. The purpose of this report is to describe a patient with priapism as the initial manifestation of a renal malignancy.

Patient Summary  A 66-year-old white man was admitted to the Atlanta Veterans Administration Hospital with a 2½-week history of persistent priapism, Eighteen days prior to admission, after having lifted a 50-lb weight, he noted a burning sensation in his scrotum, followed by the appearance of a tender, brownish nodule on the right side of the penis. Shortly thereafter, he developed priapism.He had sustained an 11-lb (5-kg) weight loss during the six-week period prior to admission but felt in good health and denied any urinary tract

References
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Becker, L.E., and Mitchell, A.D.:  Priapism ,  Surg Clin N Amer 45:1523-1534 ( (Dec) ) 1965.
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Abeshouse, B.S., and Abeshouse, G.A.:  Metastatic Tumors of the Penis: A Review of the Literature and a Report of Two Cases ,  J Urol 86:99-112 ( (July) ) 1961.
3.
Smith, M.J.V., and Bonacarti, A.F.:  Malignant Priapism due to Clear Cell Carcinoma: A Case Report and Review of the Literature ,  J Urol 92:297-299 ( (Oct) ) 1964.
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Begg, R.C.:  Persistent Priapism due to Secondary Carcinoma in the Corpora Cavernosa ,  Brit Med J 2:10 ( (July 7) ) 1928.Crossref
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Wolgin, W., and Zubrow, S.N.:  Metastatic Malignancy of the Penis Secondary to Carcinoma of the Kidney: A Case Report ,  J Albert Einstein M Center 6:128-133 ( (June) ) 1958.
6.
Abeshouse, B.S., and Tankin, L.H.:  True Priapism: Report of Four Cases and Review of Literature ,  Urol Cutan Rev 54: 449-465 ( (Aug) ) 1950.
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