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Solitary metastasis of prostate cancer into the testicle presented 10 years after the radical treatment


Authors: R. Zachoval 1;  J. Mokriš 1;  R. Matěj 2;  M. Záleský 1;  V. Borovička 1;  V. Vik 1
Authors‘ workplace: Urologické oddělení, Thomayerova nemocnice, Praha 1;  Oddělení patologie a molekulární medicíny, Thomayerova nemocnice, Praha 2
Published in: Prakt. Lék. 2014; 94(1): 41-43
Category: Case Report

Overview

Presence of a testicular mass in older men should always rise a suspicion for metastasis, germ cell tumor or lymphoma. Testicular metastases are rare, and they represent about 1% of all testicular cancers. Prostate cancer is the most common cause of testicular metastases, less than 100 cases has been described in a literature till now. Mostly, these are accidental findings, verified during the histological examination of the testicles after bilateral orchiectomy or during autopsy. Clinical manifestation of metastasis is extremely rare.

We present a case report of 66 year old patient, who presented with a solitary symptomatic testicular metastasis more than 10 years after radical treatment for primary prostate cancer. Any other lesion as a sign of generalisation was not identified and the serum PSA level reached undetectable values after orchiectomy.

Keywords:
metastasis – testis – prostate cancer


Sources

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