Published online Jul 6, 2022. doi: 10.12998/wjcc.v10.i19.6609
Peer-review started: December 2, 2021
First decision: February 7, 2022
Revised: February 15, 2022
Accepted: May 7, 2022
Article in press: May 7, 2022
Published online: July 6, 2022
Core Tip: Rectal carcinoma (RC) is a clinically common malignant tumour. Mainstream treatment methods are chemotherapy and surgery. Clinically, the liver is the most common metastatic site of RC. We report a rare case of penile metastasis from RC following a Dixon operation. Combined with the analysis of the cases indexed in PubMed, urinary discomfort occurring within 6 years after surgery is a concern. Early detection of suspicious lesions is a favourable factor for patient survival. After the discovery of penile metastasis, providing appropriate active treatment has positive effects on the prognosis of patients. The treatment plan should be based on the patient’s response to chemotherapy or radiotherapy, general condition, and willingness to choose the current best treatment. However, clinicians should avoid negative treatment.