Kollitsch L, Hamann C, Knüpfer S, Meyer D, Kneissl P, Jüttner E, Osmonov D
Klinik für Urologie und Kinderurologie, Universitätsklinikum Schleswig-Holstein-Campus Kiel, Kiel, Deutschland.
Institut für Pathologie, Universitätsklinikum Schleswig-Holstein-Campus Kiel, Kiel, Deutschland.
Urologe A. 2020 Sep;59(9):1092-1094. doi: 10.1007/s00120-020-01194-w.
We report about the rare occurrence of symptomatic testicular metastasis of an acinar adenocarcinoma of the prostate. Testicular metastases are usually incidentally detected in patients treated with bilateral orchiectomy or more often during autopsy. In the literature, there are only a few clinical cases describing symptomatic testicular metastases. However, the possibility of such metastases should be considered in patients diagnosed with advanced prostate cancer. Testicular examination should be performed regularly, even in patients with low prostate-specific antigen levels.
我们报告了一例罕见的前列腺腺泡腺癌出现有症状的睾丸转移病例。睾丸转移通常在接受双侧睾丸切除术的患者中偶然发现，或更常见于尸检时。在文献中，仅有少数临床病例描述了有症状的睾丸转移。然而，对于诊断为晚期前列腺癌的患者，应考虑到这种转移的可能性。即使是前列腺特异性抗原水平较低的患者，也应定期进行睾丸检查。
