Abstract
Squamous cell carcinoma of the penis with inguinal lymph node metastasis frequently results in femoral artery bleeding leading to hemorrhagic shock and even death. A 73-year-old man with a diagnosis of squamous cell carcinoma of the penis underwent a partial penectomy, bilateral inguinal lymph nodes resection, and pelvic lymph node resection in 2008. An inguinal lymph node metastasis subsequently developed from a right common femoral artery invasion and a right inguinal skin fistula in 2009. A tailor-made stent-graft configured from a Gore-Tex graft and a Palmaz stent was successfully deployed through the right superficial femoral artery after coil embolization to the right profunda femoris artery. Following endovascular therapy, femoral artery rupture prevention was maintained for 3 months, during which time the patient died as a result of penile carcinoma. To the best of our knowledge, this is the first report of endovascular therapy in Japan for femoral artery invasion due to penile carcinoma.
