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|標題:||Invasive Adenocarcinoma of the Prostate With Urethral Tumor||作者:||Hung, C.F.
|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.||摘要:||
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]
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