Prostate cancer testicular metastasis: Are they underestimated? Case report and analysis of the literature.

Autor:	Smelzo S; Department of Urology, San Raffaele Turro Hospital, San Raffaele University, Milan, Italy., Mantica G; Department of Urology, Policlinico San Martino Hospital, University of Genova, Genova, Italy., Lucianò R; Department of Pathology, San Raffaele Hospital, San Raffaele University, Milan, Italy., Tenace NP; Department of Pathology, San Raffaele Hospital, San Raffaele University, Milan, Italy., De Marchi D; Department of Urology, San Raffaele Turro Hospital, San Raffaele University, Milan, Italy., Pini G; Department of Urology, San Raffaele Turro Hospital, San Raffaele University, Milan, Italy., Passaretti G; Department of Urology, San Raffaele Turro Hospital, San Raffaele University, Milan, Italy., Losa A; Department of Urology, San Raffaele Turro Hospital, San Raffaele University, Milan, Italy., Gaboardi F; Department of Urology, San Raffaele Turro Hospital, San Raffaele University, Milan, Italy.
Jazyk:	angličtina
Zdroj:	Urologia [Urologia] 2022 Nov; Vol. 89 (4), pp. 645-647. Date of Electronic Publication: 2021 Apr 08.
DOI:	10.1177/03915603211009118
Abstrakt:	Introduction: We aim to present a rare case of a patient who developed a late testicular metastasis of PCa after radical prostatectomy. Case Description: A 78 years old man presenting for left testicular swelling slowly increasing of size over the last 2 months. He underwent a retropubic radical prostatectomy and extended bilateral lymphadenectomy in 2007 for prostatic adenocarcinoma. At the time of the presentation the last PSA was 0.91 ng/mL. The patient underwent a standard left orchifunicolectomy in April 2019 without intra- or perioperative complications. The pathological analysis showed a testicular metastasis of acinar adenocarcinoma. Conclusions: In conclusion, testicular metastasis from PCa are uncommon conditions. PSA evaluation and physical examination of all sites of metastasis and accurate evaluation of all signs/symptoms during the clinical visit remains crucial to the diagnosis of recurrence.
Databáze:	MEDLINE
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