Hofland C A, Bagg M D
Department of Urology, William Beaumont Army Medical Center, El Paso, TX 79916, USA.
Mil Med. 2000 Dec;165(12):973-4.
A pulmonary metastasis of prostate cancer in the absence of osseous or lymph node metastases is an extremely rare finding. We report the case of a 49-year-old man with a history of stage T2CN0M0 prostate cancer who had undergone a radical perineal prostatectomy and laparoscopic lymph node dissection, pelvic radiotherapy, and hormonal manipulation. He developed a solitary pulmonary nodule with a negative bone scan and computed tomography of his chest, abdomen, and pelvis. As a result, he underwent an open biopsy and lobectomy. The final pathology of the specimen was consistent with a metastatic lesion that stained positive for prostate-specific antigen. We present this unusual case and a review of the small number of similar cases that have been reported.
在没有骨转移或淋巴结转移的情况下，前列腺癌发生肺转移是极其罕见的情况。我们报告了一例49岁男性病例，该患者有T2CN0M0期前列腺癌病史，曾接受过会阴根治性前列腺切除术、腹腔镜淋巴结清扫术、盆腔放疗及激素治疗。他出现了一个孤立性肺结节，骨扫描以及胸部、腹部和盆腔的计算机断层扫描均为阴性。因此，他接受了开放性活检及肺叶切除术。标本的最终病理结果与前列腺特异性抗原染色阳性的转移病灶一致。我们展示这一罕见病例，并对已报道的少数类似病例进行综述。
