Urology Department, Altnagelvin Hospital, Western Health and Social Care Trust, Derry, UK
Urology Department, Altnagelvin Hospital, Western Health and Social Care Trust, Derry, UK.
BMJ Case Rep. 2021 Mar 2;14(3):e237853. doi: 10.1136/bcr-2020-237853.
A 74-year-old man with a history of prostate cancer was referred to the urology team with a new left sided testicular lump. He had a background of prostate cancer 4 years previous which had been treated with external beam radiotherapy and androgen deprivation therapy, both of which had been completed. Concurrently, he also had evidence of biochemical recurrence of prostate cancer with a rising prostate-specific antigen (PSA). He underwent a left radical orchidectomy. Following histopathological analysis, this was found to be metastatic spread from his prostate cancer. Subsequent staging showed no evidence of metastatic spread elsewhere. The patient made a good recovery following surgery and his PSA levels returned to undetectable levels. He received no further treatment for metastatic prostate cancer.
一位 74 岁男性，有前列腺癌病史，因左侧新出现睾丸肿块被转至泌尿科。他 4 年前曾患有前列腺癌，接受过外照射放疗和雄激素剥夺治疗，两者均已完成。同时，他也有前列腺特异性抗原（PSA）升高的前列腺癌生化复发的证据。他接受了左侧根治性睾丸切除术。组织病理学分析后发现，这是前列腺癌的转移扩散。进一步的分期检查未发现其他部位转移的证据。患者术后恢复良好，PSA 水平降至无法检测到的水平。他没有接受转移性前列腺癌的进一步治疗。
