Hsu Jhe-Yuan, Lin Yi-Sheng, Huang Li-Hua, Wen Wei-Chun, Gao Hong-Wei, Hsu Chao-Yu, Ou Yen-Chuan, Tung Min-Che
Division of Urology, Department of Surgery, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan.
Department of Pathology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan.
Urol Case Rep. 2024 Aug 3;56:102816. doi: 10.1016/j.eucr.2024.102816. eCollection 2024 Sep.
Prostate cancer rarely metastasizes to the stomach and kidneys. We report a 73-year-old male with such spread, highlighting significant clinical challenges. Initially diagnosed via biopsy and imaging, he received hormone therapy and cytoreductive radical prostatectomy. Despite initial management, the cancer progressed to metastatic castration-resistant prostate cancer, with gastric and renal metastases confirmed by imaging and biopsy. This case emphasizes the need for awareness of rare metastatic sites, comprehensive diagnostic evaluations, and further research into these atypical metastases to improve patient outcomes and develop better treatment strategies for managing advanced prostate cancer effectively.
前列腺癌很少转移至胃和肾脏。我们报告了一名73岁有此类转移的男性患者，突出了显著的临床挑战。最初通过活检和影像学检查确诊，他接受了激素治疗和减瘤性根治性前列腺切除术。尽管进行了初始治疗，癌症仍进展为转移性去势抵抗性前列腺癌，影像学和活检证实有胃和肾转移。该病例强调了需要认识到罕见的转移部位、进行全面的诊断评估，并对这些非典型转移进行进一步研究，以改善患者预后并制定更好的治疗策略来有效管理晚期前列腺癌。
