The Department of Urology, Kinki University School of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka 589-8511, Japan.
We report a case of prostate cancer in a 41-year-old male. The patient initially visited another institution with a chief complaint of left breech pain. He was referred to our hospital for further investigation. Serum level of PSA was 267ng/ml and multiple bone metastases were found on bone scintigram. Digital rectal examination revealed a stony-hard prostate. Computed tomography showed multiple lung and lymph node metastases. Transperineal needle biopsy of the prostate revealed moderately differentiated adenocarcinoma (Gleason score 4+5) frombilateral lobes (the 3th Edition). The patient was diagnosed with cT4N1M1c prostate cancer and maximal androgen blockade therapy was commenced.
Article in Japanese.
Written by:
Yasuda M, Matsumura N, Okuda Y, Shimizu N, Yamamoto Y, Minami T, Hayashi T, Tsuji H, Nozawa M, Ishii T, Yoshimura K, Uemura H. Are you the author?
Reference: Hinyokika Kiyo. 2011 Oct;57(10):585-8.
PubMed Abstract
PMID: 22089160
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