Sakai Takehiro, Kimura Daisuke, Hatanaka Ryo, Yamada Yoshitsugu, Tsushima Takao, Fukuda Ikuo, Kamata Yoshimasa
Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Kyobu Geka. 2010 Apr;63(4):340-3.
A 74-year-old man who had been treated by endocrine therapy for prostatic cancer for 7 years was pointed out an abnormal shadow on the chest X-ray. Computed tomography showed solitary tumor in the lower lobe of the left lung. Transbronchial lung biopsy revealed pulmonary metastasis form prostatic cancer. Because no other metastatic lesions were detected, the patient underwent surgery for pulmonary lesion. The wedge resection of the left lung was performed. Microscopically, the diagnosis of pulmonary and multiple pleural metastases was established. The pulmonary metastasis without bone nor lymph node metastasis is rare. Pleural metastasis should be considered in case of pulmonary metastasis from prostatic cancer. Surgical indication for pulmonary metastasis from prostatic cancer has to be decided carefully.
一名接受内分泌治疗前列腺癌7年的74岁男性,胸部X线检查发现异常阴影。计算机断层扫描显示左肺下叶有孤立性肿瘤。经支气管肺活检显示为前列腺癌肺转移。由于未检测到其他转移病灶,患者接受了肺部病变手术。进行了左肺楔形切除术。显微镜检查确诊为肺及多部位胸膜转移。前列腺癌肺转移而无骨及淋巴结转移较为罕见。前列腺癌发生肺转移时应考虑胸膜转移。前列腺癌肺转移的手术指征必须谨慎决定。