前列腺腺癌转移至睾丸和脑：病例报告及文献复习

Chang Jeremy, Kwan Brian, Panjwani Neil, Villanueva Nicolas, Diamond Scott, Wong-Sefidan Ida, Muchmore Elaine

School of Medicine, University of California San Diego, San Diego, CA, USA.

Department of Medicine, University of California San Diego, San Diego, CA, USA.

Oxf Med Case Reports. 2017 Aug 10;2017(8):omx042. doi: 10.1093/omcr/omx042. eCollection 2017 Aug.

Prostate cancer is the second most common cancer in men worldwide. While clinicians commonly see metastases to the bones and lymph nodes, it may infrequently spread to more uncommon locations. We report an unusual case of an 83-year-old patient with previously treated prostate adenocarcinoma who presents with symptomatic metastases to the testis and brain in the absence of widely disseminated disease. This case report highlights the importance of including metastatic disease in the differential for patients with a history of prostate cancer and a newly discovered mass until an evaluation of the tissue can be performed.

前列腺癌是全球男性中第二常见的癌症。虽然临床医生常见到骨和淋巴结转移，但它也可能罕见地扩散到更不常见的部位。我们报告了一例不寻常的病例，一名83岁曾接受过治疗的前列腺腺癌患者，在没有广泛播散性疾病的情况下出现了睾丸和脑的有症状转移。本病例报告强调了对于有前列腺癌病史且新发现肿块的患者，在进行组织评估之前，将转移性疾病纳入鉴别诊断的重要性。