학술논문

Prostate cancer testicular metastasis: Are they underestimated? Case report and analysis of the literature.
Document Type
Case Study
Source
Urologia Journal. Nov2022, Vol. 89 Issue 4, p645-647. 3p.
Subject
*TESTICULAR cancer
*RETROPUBIC prostatectomy
*PROSTATECTOMY
*METASTASIS
*RADICAL prostatectomy
*PROSTATE cancer
Language
ISSN
0391-5603
Abstract
Introduction: We aim to present a rare case of a patient who developed a late testicular metastasis of PCa after radical prostatectomy. Case description: A 78 years old man presenting for left testicular swelling slowly increasing of size over the last 2 months. He underwent a retropubic radical prostatectomy and extended bilateral lymphadenectomy in 2007 for prostatic adenocarcinoma. At the time of the presentation the last PSA was 0.91 ng/mL. The patient underwent a standard left orchifunicolectomy in April 2019 without intra- or perioperative complications. The pathological analysis showed a testicular metastasis of acinar adenocarcinoma. Conclusions: In conclusion, testicular metastasis from PCa are uncommon conditions. PSA evaluation and physical examination of all sites of metastasis and accurate evaluation of all signs/symptoms during the clinical visit remains crucial to the diagnosis of recurrence. [ABSTRACT FROM AUTHOR]