Kim Hakushi, Usui Yukio, Soeda Shuichi, Kawakami Masayoshi, Kato Seiichi, Nakajima Nobuyuki, Hanai Kazuya, Kawamura Yoshiaki, Hoshi Akio, Nomoto Takeshi, Terachi Toshiro
The Department of Urology, Tokai University School of Medicine.
Hinyokika Kiyo. 2011 Dec;57(12):705-8.
A 71-year-old man underwent a radical nephrectomy for right renal cell carcinoma in April, 2005. Pathological findings revealed clear cell carcinoma, G3>G2, pT3a. Three years later, he underwent a craniotomy for tumor resection of solitary brain metastasis. In October, 2008, he came to our hospital because of urinary retention. Benign prostate hypertrophy was diagnosed by ultrasonography and digital rectal examination. Serum prostate specific antigen level was 2.55 ng/dl. While he was treated with oral α 1-blocker initially, a urethral catheter was inserted in December, 2009. Because of frequent obstruction of the catheter by hematuria, transureathral prostectomy was performed. Pathological findings revealed prostatic metastasis of renal cell carcinoma. Metastasis of renal cell carcinoma to the prostate is rare, and only 7 cases including the present case have been reported.
一名71岁男性于2005年4月因右肾细胞癌接受了根治性肾切除术。病理检查结果显示为透明细胞癌,G3>G2,pT3a。三年后,他接受了开颅手术以切除孤立性脑转移瘤。2008年10月,他因尿潴留前来我院。经超声检查和直肠指诊诊断为良性前列腺增生。血清前列腺特异性抗原水平为2.55 ng/dl。最初他接受口服α1受体阻滞剂治疗,2009年12月插入了尿道导管。由于导管频繁被血尿阻塞,遂进行了经尿道前列腺切除术。病理检查结果显示为肾细胞癌前列腺转移。肾细胞癌转移至前列腺较为罕见,包括本病例在内仅报道过7例。