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

Autor: Smelzo, Salvatore, Mantica, Guglielmo, Lucianò, Roberta, Tenace, Nazario Pio, De Marchi, Davide, Pini, Giovannalberto, Passaretti, Giovanni, Losa, Andrea, Gaboardi, Franco
Zdroj: Urologia; November 2022, Vol. 89 Issue: 4 p645-647, 3p
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: Supplemental Index