Prostate cancer testicular metastasis: Are they underestimated? Case report and analysis of the literature
| Autor: | Guglielmo Mantica, Franco Gaboardi, Nazario Pio Tenace, R. Lucianò, G. Passaretti, Salvatore Smelzo, Andrea Losa, Giovannalberto Pini, Davide De Marchi |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology Physical examination Acinar adenocarcinoma Adenocarcinoma Metastasis 03 medical and health sciences Prostate cancer 0302 clinical medicine Testicular Neoplasms medicine Humans Orchiectomy Aged Prostatectomy medicine.diagnostic_test business.industry Prostatic Neoplasms Neoplasms Second Primary General Medicine Perioperative Neoplasms Germ Cell and Embryonal Prostate-Specific Antigen medicine.disease Lymphadenectomy Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Urologia Journal. 89:645-647 |
| ISSN: | 1724-6075 0391-5603 |
| DOI: | 10.1177/03915603211009118 |
| Popis: | 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: | OpenAIRE |
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