A 68-year-old man with known prostate cancer presents with penile pain and intermittent priapism.

Fig. 152.1 (A–C) Postgadolinium T1-weighted images of the penis show multiple focal lesions (arrows) within the corpora cavernosa.

Penile metastases from primary prostate cancer

• Multiple primary neoplasms
  
• Tuberculosis
  
• Nonspecific inflammatory lesions

Penile metastases are rare and usually secondary to other genitourinary primary tumors.