<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0122-0667</journal-id>
<journal-title><![CDATA[Revista Médica de Risaralda]]></journal-title>
<abbrev-journal-title><![CDATA[Revista médica Risaralda]]></abbrev-journal-title>
<issn>0122-0667</issn>
<publisher>
<publisher-name><![CDATA[Universidad Tecnológica de Pereira]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0122-06672021000200170</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Metástasis pulmonar y pleural en cáncer de pene, una patología infrecuente.]]></article-title>
<article-title xml:lang="en"><![CDATA[Pulmonary and pleural metastasis in penile cancer, an uncommon pathology.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[Edward Rozo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias Duarte]]></surname>
<given-names><![CDATA[Miguel Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Rodríguez]]></surname>
<given-names><![CDATA[Ledmar Jovanny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario San Rafael Especialización en Medicina Interna ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario San Rafael  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Boyacá  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>27</volume>
<numero>2</numero>
<fpage>170</fpage>
<lpage>180</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0122-06672021000200170&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0122-06672021000200170&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0122-06672021000200170&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El carcinoma de pene es un tumor infrecuente en nuestro medio con menos del 1% de muertes en el hombre. Se define como el proceso proliferativo y desordenado de las células epiteliales escamosas del pene.  Objetivo: Presentar el caso de un paciente que presentó cáncer de pene con metástasis a pulmón.  Caso clínico: Paciente de 85 años ingreso por cuadro clínico de 24 horas de evolución consistente en hematuria asociado a tos no productiva, lumbalgia, astenia y adinamia. Tenían antecedentes de carcinoma escamosos de pene, fumador pesado hasta hace dos años, exposición crónica a humo de leña. Al examen físico con regular estado general, ruidos respiratorios sugestivos de hipoventilación izquierda, ausencia de pene por antecedentes y sonda vesical salida de orina hematúrica, ganglios en región inguinal, edema en miembros inferiores con formación de flictenas en cara dorsal de los pies. Los estudios imagenológicos confirmaron la presencia de masa a región pulmonar junto con fracturas patológicas a nivel torácico, por lo que se dio manejo paliativo con egreso hospitalario.  Conclusiones: El cáncer de pene es una patología de baja prevalencia a nivel mundial. Aproximadamente el 95% de estos canceres son carcinomas de células escamosas que fácilmente pueden diseminarse localmente a través de canales linfáticos o vasculares, a pesar de ello, la probabilidad de enfermedad metastásica es rara, y afecta principalmente a órganos como el hígado, los huesos y al cerebro, sin embargo, se han reportado pocos casos de metástasis a columna dorsal, corazón, retroperitoneo, tejido mamario masculino, pulmón y metástasis cutáneas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Carcinoma of the penis is a rare tumor in our environment, constituting less than 1% of deaths in men and it is defined as the proliferative disordered process of squamous epithelial cells of the penis.  Objective:  The objective of the following manuscript is to present the case of a patient who developed cancer of the penis with metastasis to the lung.  Clinical case:  An 85-year-old patient was admitted due to a 24-hour clinical picture consisting of hematuria associated with non-productive cough, low back pain, asthenia and adynamia. He had a history of squamous cell carcinoma of the penis, he was identified as a heavy smoker until two years ago and presented chronic exposure to wood smoke. On the physical examination, the patient evidenced a regular general state, respiratory sounds that suggested left hypoventilation, absence of penis due to his clinical history and outflow of hematuric urine through bladder catheter, ganglia in the inguinal region, edema in the lower limbs with formation of flictenas on the dorsal zone of the feet. Imaging studies confirmed the presence of mass in a pulmonary region together with pathological fractures at the thoracic level, thus, palliative care was provided, and the patient was discharged from the hospital.  Conclusions:  Penile cancer is a low prevalence worldwide pathology. Approximately 95% of these cancers are squamous cell carcinomas, which can easily spread locally through lymphatic or vascular channels; nonetheless, its metastatic disease development is rare and mainly affects organs such as the liver, bone, and brain. However, few cases of metastasis to the dorsal spine, heart, retroperitoneum, breast tissue, lung, and skin have been reported.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer de pene]]></kwd>
<kwd lng="es"><![CDATA[metástasis]]></kwd>
<kwd lng="es"><![CDATA[pulmón]]></kwd>
<kwd lng="es"><![CDATA[linfáticos]]></kwd>
<kwd lng="es"><![CDATA[carcinoma de células escamosas]]></kwd>
<kwd lng="en"><![CDATA[Cancer of the penis]]></kwd>
<kwd lng="en"><![CDATA[metastasis]]></kwd>
<kwd lng="en"><![CDATA[lung]]></kwd>
<kwd lng="en"><![CDATA[lymphatic squamous cell carcinoma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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