Ripa Saldias L M, Ayuso Blanco T, Delpon Pérez E, Sarria Octavio de Toledo L
Sección de Urología, Hospital Reina Sofía, Tudela, Navarra.
Actas Urol Esp. 1994 Oct;18(9):911-4.
Two cases of prostate cancer (PC) which presented clinically with affectation of the cranial pairs due to skull base metastasis. In both cases, existence of intraparenchimatous brain metastasis was excluded. Initial improvement with hormonal therapy was followed by clinical, analytical and radiological relapse due to spread of process until death, at 11 and 36 months from diagnosis. Although PC's bone metastasis are frequent, their location at the skull base is uncommon. Even more rare are the cases which present with changes in the cranial pairs in the absence of signs and symptoms of prostatism.
两例前列腺癌(PC)患者临床上因颅底转移而出现颅神经受累。在这两例中,均排除了脑实质内脑转移的存在。最初激素治疗有改善,但随后病情进展扩散,出现临床、分析及影像学复发,直至诊断后11个月和36个月死亡。虽然前列腺癌的骨转移很常见,但其位于颅底并不常见。更罕见的是那些在没有前列腺增生体征和症状的情况下出现颅神经改变的病例。