BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e1003 (Published 16 February 2012) Cite this as: BMJ 2012;344:e1003
  1. M Arias, senior house officer,
  2. E Ladoyanni, consultant dermatologist
  1. 1Department of Dermatology, Dudley Group of Hospitals, Russells Hall Hospital, Dudley, UK
  1. mcam03{at}doctors.org.uk

A 78 year old man presented with a two month history of a lesion on his penis. The lesion bled recurrently and profusely. His history included colorectal cancer treated with radiotherapy, combined chemotherapy, and anteroposterior resection five years earlier. Clinical examination showed a 6 mm by 7 mm fleshy, red papule on the glans penis. Skin biopsy confirmed metastatic adenocarcinoma from his colorectal primary cancer. About 9% of patients with internal malignancies present with skin metastases. The commonest cancers metastasising to skin in men are lung, colon, malignant melanoma, oral squamous cell, and kidney. Cutaneous metastases usually appear in skin near the primary tumour.


Cite this as: BMJ 2012;344:e1003


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