Spinal osseous metastatic diseases are common for numerous cancers, but are rarely reported from penile cancer, and the regional lymph nodes are the predominant site of involvement. To date, there are few cases of spinal metastasis from penile cancer reported in the literature worldwide. A 60-year-old uncircumcised male presented with a painless penile lump for 2 years and lower back pain for 20 days. Incisional biopsy showed squamous cell carcinoma. A CT scan of the lumbosacral spine demonstrated a solitary sclerotic lesion in the T10 vertebral body, radiographically suspicious for metastatic disease. Magnetic resonance imaging and tissue biopsy of the vertebral lesion were not feasible due to the unavailability of the service in the area, and financial constraints prevented referring the patient for the investigation. This case highlights the importance of early evaluation of skeletal symptoms in advanced penile cancer. It demonstrates that palliative multimodal therapy may achieve short-term symptom control even in rare metastatic patterns. • Spinal osseous metastasis secondary to penile cancer is rare. • This case highlights the importance of early evaluation of skeletal symptoms in advanced penile cancer. • Pathological evaluation of suspicious osseous masses may be difficult in LMIC. • A personalised, multi-disciplinary management programme could provide symptomatic relief.
Baanitse et al. (Fri,) studied this question.