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標題: Invasive Adenocarcinoma of the Prostate With Urethral Tumor
作者: Hung, C.F.
Lee, C.H.
Hung, S.W.
Chiu, K.Y.
Cheng, C.L.
Yang, C.R.
Chen, C.J.
Li, J.R.
關鍵字: anterior urethra;corpus cavernosum;corpus spongiosum;metastasis;prostate cancer;penis;carcinoma
Project: Journal of the Chinese Medical Association
期刊/報告no:: Journal of the Chinese Medical Association, Volume 73, Issue 2, Page(s) 101-103.
Metastases of prostate cancer to the penis and urethra are rare and often represent advanced disease. We describe a case of newly diagnosed prostatic adenocarcinoma with metastases to the corpus spongiosum, cavernosum, and the, anterior urethra. A male patient, 77 years of age, initially had lower Urinary tract obstruction symptoms. His prostate-specific antigen level was 5.02ng/mL. Digital rectal examination disclosed stony hard tumors at both lobes of the prostate. Transrectal ultrasound-guided biopsy of the prostate revealed adenocarcinoma over both lobes; the Gleason score was 4 + 4 = 8. Cystoscopy showed a penile urethral tumor and biopsy disclosed metastatic adenocarcinoma of the prostate; the Gleason score was 4 + 4 = 8. The patient initially received hormone therapy. Biochemical failure developed after 15 months and rapidly progressed to a hormone-refractory stage. Docetaxel was then prescribed. The patient died in the 25(th) month after the diagnosis. [J Chin Med Assoc 2010;73(2):101-103]
ISSN: 1726-4901
Appears in Collections:期刊論文

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