Metastatic Prostatic Ductal Adenocarcinoma Successfully Treated with Docetaxel Chemotherapy: A Case Report

Autor: Teruhiko Tsuru, Susumu Kageyama, Keiji Tomita, Ryo Fujiwara, Takahiro Isono, Tetsuya Yoshida, Mitsuhiro Narita, Eiki Hanada, Akihiro Kawauchi
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Case Reports in Oncology, Vol 8, Iss 2, Pp 339-344 (2015)
Case Reports in Oncology
ISSN: 1662-6575
Popis: A 68-year-old man presented with gross hematuria. A papillary urethral tumor adjacent to the verumontanum was found by cystourethroscopy. Serum prostate-specific antigen (PSA) was 3.246 ng/ml. A transurethral biopsy specimen was most suggestive of a primary urothelial carcinoma of the prostate, for which a radical cystoprostatectomy was performed. The final pathology was prostatic ductal adenocarcinoma with very focal acinar features (Gleason score 5 + 4 = 9, pT3bN0M0). Local recurrence and pelvic bone metastases developed 17 months later, and his PSA rose to 10.806 ng/ml. He was treated with combined androgen blockade and radiation. Two years later, the lesion showed progressive growth. Treatment followed with docetaxel (70 mg/m2 every 3 weeks) and prednisolone 5 mg twice daily. After 10 cycles of chemotherapy, all lesions disappeared and PSA decreased to
Databáze: OpenAIRE
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