case_images: PMC4382760_01
case_images: 40-year-old male presented with a lesion over the glans penis diagnosed as carcinoma penis. Contrast enhanced CT of (a) abdomen axial view reveals bilateral inguinal nodes (arrows) and of (b) chest shows cardiac lesion (arrow) suggestive of metastatic disease.
case_images: JCIS-5-15-g002.jpg
case_images: PMC4382760_01_JCIS-5-15-g002.jpg
case_images: F1
case_images: A contrast-enhanced computed tomography [Figure 1a and b] and 2-deoxy-2-(fluorine-18)fluoro-d-glucose positron emission tomography-computed tomography (18F-FDG PET-CT) [Figure 2a and b] done to evaluate the stage of the disease revealed bilateral inguinopelvic lymphadenopathy and a large right ventricular myocardial metastasis.
case_images: 40-year-old male presented with a lesion over the glans penis diagnosed as carcinoma penis. PET CT scan of the patient reveals intense FDG uptake lesion in (a) pelvic region by the bilateral inguinal nodes (arrows) and in the (b) chest region by the cardiac lesions (standardised standardized uptake value - 9.8) suggestive of metastatic disease.
case_images: JCIS-5-15-g003.jpg
case_images: PMC4382760_01_JCIS-5-15-g003.jpg
case_images: F2
case_images: A contrast-enhanced computed tomography [Figure 1a and b] and 2-deoxy-2-(fluorine-18)fluoro-d-glucose positron emission tomography-computed tomography (18F-FDG PET-CT) [Figure 2a and b] done to evaluate the stage of the disease revealed bilateral inguinopelvic lymphadenopathy and a large right ventricular myocardial metastasis.
case_images: 40-year-old male presented with a lesion over the glans penis diagnosed as carcinoma penis. After six cycles of chemotherapy contrast enhanced CT of the (a) pelvic region shows partial response in the bilateral inguinal nodes (arrows) and (b) CECT chest shows reduction the cardiac lesion (arrow).
case_images: JCIS-5-15-g004.jpg
case_images: PMC4382760_01_JCIS-5-15-g004.jpg
case_images: F3
case_images: Follow-up examination and imaging revealed partial response with improvement in the general condition and shrinkage of the inguinal lymph nodes and the cardiac lesion [Figures 3 and 4].
case_images: 40-year-old male presented with a lesion over the glans penis diagnosed as carcinoma penis. Post chemotherapy PET CT scan shows minimal FDG uptake in left inguinal node (arrow) and disappearance of right inguinal nodes suggestive of partial response.
case_images: JCIS-5-15-g005.jpg
case_images: PMC4382760_01_JCIS-5-15-g005.jpg
case_images: F4
case_images: Follow-up examination and imaging revealed partial response with improvement in the general condition and shrinkage of the inguinal lymph nodes and the cardiac lesion [Figures 3 and 4].
case_images: 40-year-old male presented with a lesion over the glans penis diagnosed as carcinoma penis. Histopathology slide of pericardial tissue stained with hematoxylin and eosin (10x magnification) shows islands and nest of cells surrounded by desmoplastic stroma (arrow) and immunopositivity with PAN - cytokeratin.
case_images: JCIS-5-15-g006.jpg
case_images: PMC4382760_01_JCIS-5-15-g006.jpg
case_images: F5
case_images: Patient underwent drainage of pericardial effusion and biopsy of the pericardial tissue confirmed metastatic disease [Figure 5].