关键词: Prostate cancer adenocarcinoma lactate dehydrogenase (LDH) lymphagitic spread metastasis prostate-specific antigen (PSA)

来  源:   DOI:10.12890/2024_004494   PDF(Pubmed)

Abstract:
Prostate cancer can metastasise to the lung. Most common presentations described in the literature are solitary pulmonary nodules, lymphangitic spread and, rarely, pleural effusion. We describe a case of prostate adenocarcinoma with diffuse bilateral reticulonodular and lymphangitic pulmonary metastasis, and malignant pleural effusion while being on androgen deprivation therapy.
CONCLUSIONS: Lymphangitic metastasis of prostate cancer to the lung with diffuse reticulonodular infiltrate is a rare presentation.In chemical castration-sensitive prostate cancer, prostate-specific antigen (PSA) levels can be improving but the patient can still develop new distant metastases.
摘要:
前列腺癌可以转移到肺部。文献中描述的最常见表现是孤立性肺结节,淋巴管扩散,很少,胸腔积液.我们描述了一例前列腺腺癌伴弥漫性双侧网状结节性和淋巴管性肺转移,和恶性胸腔积液,而正在进行雄激素剥夺治疗。
结论:前列腺癌向肺的淋巴结转移伴弥漫性网状结节浸润是一种罕见的表现。在化学去势敏感型前列腺癌中,前列腺特异性抗原(PSA)水平可以改善,但患者仍可能发生新的远处转移。
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