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Rectal Metastasis of Prostate Cancer: About a Case

机译:前列腺癌的直肠转移:约1例

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Prostate adenocarcinomas present a high risk of metastasis. We report a case of an atypical prostate cancer metastasis. A male patient presented a prostatic adenocarcinoma treated by surgery. A biological recurrence was discovered during the follow-up by an increased rate of Prostate Specific Antigen (PSA) and was treated by hormonotherapy. Several months later, there was a re-increase of the PSA rate. The CT scan showed a radiation proctitis aspect. An intermittent hormonotherapy was decided. Six months later, he presented abdominal pain. Examinations were performed and showed a rectal carcinosarcoma with prostate origins. A surgical management was realised. The outcomes were an early recurrence. A symptomatic treatment was decided. There are not any rectal localisations reported in the literature. Only loco-regional invasions of the rectum are described and no histological modification of metastasis compared to the primitive tumor has been reported. So, we report a metastasis of a prostate adenocarcinoma which transformed into a carcinosarcoma.doi:10.4021/jocmr2010.05.309w
机译:前列腺腺癌具有高转移风险。我们报告一例非典型前列腺癌转移。一名男性患者出现了通过手术治疗的前列腺腺癌。随访期间发现前列腺癌特异性抗原(PSA)的发生率升高,从而导致了生物复发,并通过激素疗法对其进行了治疗。几个月后,PSA率再次提高。 CT扫描显示出放射性直肠炎方面。决定进行间歇性的激素疗法。六个月后,他出现了腹痛。进行检查后发现直肠癌肉瘤起源于前列腺。实现了手术管理。结果是早期复发。决定对症治疗。文献中没有报告任何直肠定位。仅描述了直肠的局部区域浸润,与原始肿瘤相比,未见转移的组织学改变。因此,我们报告了前列腺癌的转移已转化为癌肉瘤。doi:10.4021 / jocmr2010.05.309w

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