Boyer L, Fraysse P, Taillandier J, Michel J L
Service de Radiologie, Hôpital Saint-Jacques, CHU, Clermont-Ferrand.
Rev Mal Respir. 1991;8(1):115-7.
The authors report a case of metastases from a carcinoma of prostate producing mediastinal adenopathy with compression. The clinical presentation was unusual as this is an unusual area for lymphadenopathy and an abnormal lymphatic pattern was invoked as a possible cause or that the lymphatic channels communicating with these nodes had an abnormal thoracic duct. The aetiological diagnosis was facilitated by the presence of a specific prostatic antigen on the lymph node biopsy which allowed one to use an effective androgen suppression therapy.
作者报告了一例前列腺癌转移导致纵隔淋巴结肿大并伴有压迫症状的病例。临床表现不寻常，因为这是淋巴结病的一个不常见部位，一种异常的淋巴模式被认为是可能的原因，或者与这些淋巴结相通的淋巴管有异常的胸导管。淋巴结活检中存在特异性前列腺抗原有助于病因诊断，从而能够采用有效的雄激素抑制疗法。
