Samsonov V A
Arkh Patol. 1985;47(8):58-61.
Among 600 necropsy cases of prostatic carcinoma metastases were found in 425 (70,8%). Solitary metastasis was found in 11 cases only, in the rest multiple metastases were observed. The most frequent site of metastases were lymph nodes (42,7%), bone (29,6%), liver (19,8%), lungs (14,5%), pleura (9,2%). Bone metastases were most frequently osteoplastic, localized mainly in the vertebral column (19,7% of all carcinomas), pelvic bones (8,5%), ribs (8,5%). In 4 out of 118 cases of metastases to the vertebral column, a pathologic fracture was observed, this being much rarer than in metastases of a clear-cell carcinoma of the kidney (11,1%) when metastases are generally osteolytic.
在600例尸检病例中,发现425例(70.8%)存在前列腺癌转移。仅11例发现孤立性转移,其余均观察到多发性转移。转移最常见的部位是淋巴结(42.7%)、骨(29.6%)、肝(19.8%)、肺(14.5%)、胸膜(9.2%)。骨转移最常见的是成骨性,主要位于脊柱(占所有癌的19.7%)、骨盆骨(8.5%)、肋骨(8.5%)。在118例脊柱转移病例中,有4例观察到病理性骨折,这比肾透明细胞癌转移时(11.1%)少见得多,肾透明细胞癌转移时通常为溶骨性。