A case of leiomyosarcoma of the penis is described. The previous reports of this tumor are summarized, and the prognosis and treatment are discussed.
EIOMYOSARCOMA OF THE PENIS IS AN EX-L tremely rare tumor; only 13 cases have been recorded. We describe here a further example of this type of sarcoma and review all previously described cases in an attempt to assess the prognosis and optimal form of treatment of this neoplasm.
CASE REPORT
A 64-year-old Caucasian man was first seen in May 1967, with a 6-month history of urethral discharge and dysuria. He had a balanitis, which was treated with antibiotics, but he failed to improve. In August 1967, a swelling was noted on the glans at its junction with the frenulum. Circumcision was performed and the swelling biopsied; the report on the biopsy was not conclusive but the possibility of an early squamous-cell carcinoma was suggested.
The patient was treated with 2 courses of deep radiation therapy; he improved considerably, although an ulcerated lesion remained on his glans. During 1969, the patient gradually developed a meatal stricture. He also experienced persistent ulceration of the glans, and a partial amputation of the penis was performed in November 1969.
The patient has remained well since the operation and, when last seen in October 1970, was active and in good health: there was no evidence of tumor recurrence in the penile stump.
PATHOLOGY
The specimen consisted of the terminal 6 cm of the penis. Arising from the superficial surface at a point 2 cm from the distal tip of the penis was an ulcerated nodular plaque of firm white tissue 2 cm in diameter. The plaque was attached to the skin and to the un-*