International Journal of Clinical & Medical Images

Clinical Image: Surgically treated bladder tumors have a poor prognosis. Indeed, it is 50% of survival at 5 years for T2 tumors. The literature reports some rare cases of metastasis after radical treatment. The cavernous localization remains extremely rare (approximately 1%). It can occur from 8 months to 10 years after surgery. Here, we report the case of a 74-year-old chronic smoking patient who, in August 2015, underwent a total cystoprostatectomy. Two years later he presents an induration of the penis (Figure 1), with no other associated sign. On clinical examination we find inflammatory signs with a beginning of infection. Given the clinical context, a biopsy was performed and came back in favor of a cavernous metastasis of urothelial carcinomas (Figure 2). Chemotherapy and immunotherapy based on Cisplatin - Gemcitabine and Atezolizumab were started but the patient died a few weeks later