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頁籤選單縮合
題名 | Invasive Adenocarcinoma of the Prostate With Urethral Tumor=攝護腺癌之尿道轉移 |
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作者 | 洪啟峰; 李貞慧; 熊小澐; 裘坤元; 程千里; 楊啟瑞; 陳春榮; 李建儀; | 書刊名 | Journal of the Chinese Medical Association |
卷期 | 73:2 2010.02[民99.02] |
頁次 | 頁101-103+CA18 |
分類號 | 415.863 |
關鍵詞 | 前段尿道; 陰莖海綿體; 尿道海綿體; 轉移性攝護腺癌; Anterior urethra; Corpus cavernosum; Corpus spongiosum; Metastasis; Prostate cancer; |
語文 | 英文(English) |
英文摘要 | 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 5.02 ng/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 25th month after the diagnosis. |
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