testicular metastasis of prostate cancer: a case report

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ID: 208986
2014
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Ranked #79 of 83 articles by views in multi-span large bridges - proceedings of the international conference on multi-span large bridges, 2015

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Abstract
The incidence of secondary neoplasms of the testis during autopsies is approximately 2.5%. Although most secondary testicular metastases are due to prostate cancer, only a few patients with prostate cancer have clinically manifested testicular metastasis. We report the case of a prostate cancer patient with testicular metastasis who was diagnosed after the presence of a palpable mass in the right testis. A 56-year-old Japanese male presented to our hospital with an elevated serum prostate-specific antigen (PSA) level of 137 ng/ml. He was diagnosed with stage IV (T3N1M1b) prostate cancer and received androgen deprivation therapy, followed by various hormonal manipulations. His serum PSA level was undetectable for 1 year. No distant metastases were detected during imaging examinations. He received radiation therapy; however, his serum PSA level increased gradually. Four months later, he presented with right testicular swelling. Computed tomography revealed a heterogenous mass in the right testis and a right high inguinal orchiectomy was performed. Histopathological analysis showed that the right testis was infiltrated with metastatic adenocarcinoma with a Gleason score of 8. This is a rare case of right testicular metastasis in a patient with prostate cancer. Testicular metastasis of prostate cancer can be aggressive and metastasize.
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Authors ;Ayumu Kusaka;Takuya Koie;Hayato Yamamoto;Itsuto Hamano;Takahiro Yoneyama;Yasuhiro Hashimoto;Chikara Ohyama;Yuki Tobisawa;Tohru Yoneyama
Journal multi-span large bridges - proceedings of the international conference on multi-span large bridges, 2015
Year 2014
DOI
10.1159/000367779
URL
http://www.karger.com/Article/FullText/367779
Keywords
prostate cancer Oncology including cancer and carcinogens tumors

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