雄激素剥夺治疗22年后寡转移前列腺腺癌的睾丸复发
Testicular recurrence of oligometastatic prostatic adenocarcinoma after 22 years of androgen deprivation therapy.
作者信息
Fortier Alexa, Mokadem Seif, Cornet Emlyn, Cornu Jean-Nicolas, Sabourin Jean-Christophe, Pfister Christian
机构信息
Urology Department, Rouen University Hospital, 1 Rue de Germont, 76031, Rouen Cedex, France.
Department of Anatomopathology, Rouen University Hospital, 1 Rue de Germont, 76031, Rouen Cedex, France.
出版信息
Urol Case Rep. 2022 Mar 17;43:102055. doi: 10.1016/j.eucr.2022.102055. eCollection 2022 Jul.
Testicular metastasis of carcinoma is a rare condition. We report a rare case of right testicular metastasis of prostatic adenocarcinoma in an 84 years old patient, after more than 20 years of controlled disease under androgen deprivation therapy. Follow-up consisted in PSA monitoring, clinical examination, CT and bone scan. Biological recurrence, right testicular mass and finally right total orchiectomy allowed the diagnosis of a right testicular metastasis. PSA monitoring and clinical surveillance are important tools for diagnosing metastatic localisations.
癌的睾丸转移是一种罕见情况。我们报告一例84岁患者发生前列腺腺癌右睾丸转移的罕见病例，该患者在雄激素剥夺治疗下疾病得到控制超过20年。随访包括前列腺特异性抗原（PSA）监测、临床检查、CT和骨扫描。生物学复发、右侧睾丸肿物，最终右侧睾丸全切术确诊为右侧睾丸转移。PSA监测和临床监测是诊断转移部位的重要工具。
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