Shirakawa Hiroshi, Kozakai Norihide, Sugiura Hitoshi, Hara Satoshi
The Department of Urology, Kawasaki Municipal Hospital.
Hinyokika Kiyo. 2010 Feb;56(2):123-5.
A 62-year-old man was referred to our outpatient clinic because of his elevated serum prostatic specific antigen level. The transrectal ultrasonography guided biopsy of the prostate revealed prostate cancer. Computed tomography, magnetic resonance imaging (MRI) and bone scintigraphy showed multiple metastases to his bones and lymph nodes. The MRI incidentally revealed a solitary tumor at the right lateral wall of the urinary bladder. Transurethral resection of the bladder tumor was performed, and histopathological examination showed the bladder tumor composed of not urothelial carcinoma but metastatic adenocarcinoma from prostate cancer.
一名62岁男性因血清前列腺特异性抗原水平升高被转诊至我院门诊。经直肠超声引导下前列腺穿刺活检显示为前列腺癌。计算机断层扫描、磁共振成像(MRI)和骨闪烁显像显示其骨骼和淋巴结有多处转移。MRI偶然发现膀胱右侧壁有一个孤立性肿瘤。遂行膀胱肿瘤经尿道切除术,组织病理学检查显示膀胱肿瘤并非尿路上皮癌,而是前列腺癌转移所致的腺癌。