Takahashi S, Ogawa Y, Kitagawa R
Hinyokika Kiyo. 1986 Mar;32(3):468-72.
A 63-year-old man was admitted with the complaints of macrohematuria, sense of residual urine and urinary frequency. Physical examination revealed an enlarged hard prostate and left scrotal mass. The pathological diagnosis of the needle biopsy specimen of the prostate showed undifferentiated adenocarcinoma. The patient underwent bilateral orchiectomy for hormone therapy of prostatic carcinoma and treatment of suspected left testicular tumor. The histology of testicular tumor revealed metastasis from carcinoma of the prostate. Metastasis of the testis from prostatic carcinoma is rare in spite of the high incidence of the primary tumor. Clinical findings on testicular metastasis from carcinoma of the prostate obtained in 62 cases reported in available literature are reviewed and discussed in detail.
一名63岁男性因肉眼血尿、残余尿感及尿频症状入院。体格检查发现前列腺增大变硬,左侧阴囊有肿物。前列腺穿刺活检标本的病理诊断显示为未分化腺癌。该患者接受了双侧睾丸切除术,用于前列腺癌的激素治疗及疑似左侧睾丸肿瘤的治疗。睾丸肿瘤的组织学检查显示为前列腺癌转移。尽管前列腺原发性肿瘤发病率很高,但前列腺癌转移至睾丸却很罕见。本文详细回顾并讨论了现有文献中报道的62例前列腺癌睾丸转移的临床病例。