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孤立性前列腺癌肝转移:肝切除术的一个特殊适应证。

Solitary prostate cancer liver metastasis: an exceptional indication for liver resection.

机构信息

Starzl Unit of Abdominal Transplantation, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.

Department of Pathology, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Brussels, Belgium.

出版信息

Acta Chir Belg. 2021 Dec;121(6):427-431. doi: 10.1080/00015458.2020.1722929. Epub 2020 Feb 11.

Abstract

INTRODUCTION

Prostatic cancer metastases (PCM) are usually systemic. Isolated PCM liver metastases (PCLM) are very rare. The treatment of PCM consists of hormono- and chemotherapy eventually combined with stereotactic radiation.

PATIENT AND DISCUSSION

A case of a 67-year old man presenting with a solitary, metachronous PCLM undergoing a left extended hepatectomy due to resistance to hormono- and chemotherapy is reported. He died of recurrent systemic disease 31 months later.

CONCLUSIONS

The very rare indication and possible role of liver resection in the treatment of PCLM is discussed.

摘要

介绍

前列腺癌转移(PCM)通常是全身性的。孤立性前列腺癌肝转移(PCLM)非常罕见。PCM 的治疗包括激素和化疗,最终结合立体定向放疗。

患者和讨论

报告了一例 67 岁男性,因对激素和化疗有抵抗而出现孤立性、异时性 PCLM,行左扩大肝切除术。31 个月后死于复发性全身疾病。

结论

讨论了肝切除术治疗 PCLM 的非常罕见的适应证和可能作用。

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