Morrone N, Volpe V L, Dourado A M, Coletta E N
Dispensário do Ipiranga-Sanatorinhos Ação Comunitária de Saúde, São Paulo.
Rev Assoc Med Bras (1992). 1996 Jan-Mar;42(1):57-60.
A 65 year old male Negro had respiratory and urinary symptoms for the last 5 months. The work-up disclosed a prostatic carcinoma with metastases in bones, bronchus, lung parenchyma and hilar lymphnodes. Prostatic and bronchial biopsies revealed carcinoma; specific prostatic antigen was detected in both. A prostatectomy with bilateral orchiectomy was performed followed by anti-androgenic hormotherapy. Complete remission of metastatic bronchial, lung parenchyma and lymphatic lesions was observed; bone lesions did not change.
lung and bronchial metastases of prostatic carcinoma may resemble primitive bronchial tumor; complete remission with anti-androgenic therapy is possible, saving the patient from unnecessary radio and/or chemotherapy.
一名65岁的黑人男性在过去5个月出现呼吸和泌尿系统症状。检查发现前列腺癌伴骨、支气管、肺实质和肺门淋巴结转移。前列腺和支气管活检显示为癌；两者均检测到特异性前列腺抗原。行前列腺切除术加双侧睾丸切除术，随后进行抗雄激素激素治疗。观察到转移性支气管、肺实质和淋巴病变完全缓解；骨病变未改变。
前列腺癌的肺和支气管转移可能类似于原发性支气管肿瘤；抗雄激素治疗可能实现完全缓解，使患者避免不必要的放疗和/或化疗。
