Riesiges, vorwiegend zystisches Lokalrezidiv eines Prostatakarzinoms. Darstellung in der Sonographie und Computertomographie

Macheiner, Peter; Hollerweger, Alois; Rettenbacher, Th.

doi:10.1055/s-2008-1032690

Cited by 2 publications

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“…[4] There have been reports of cystic recurrences following resection of prostate cancer. [8] However, the nature of the cystic lesion is not still clear. Besides, the patient has the diagnosis of prostate cancer.…”

Section: Discussionmentioning

confidence: 99%

Cystic metastasis of prostate cancer

Zhang¹,

Bian²,

et al. 2018

Medicine

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Rationale:Prostate cancer often metastasizes (most commonly to the pelvic lymph nodes and axial skeleton); however, metastases to the pelvic cavity as a solitary mass are unusual. While metastatic prostate cancer is unconventional in pelvic cavity, cystic pelvic lesions are even more scarce. Accurate identification of cystic metastasis can be helpful in management of prostate cancer.Patient concerns:A 64-year-old male was admitted to our hospital due to urethral irritation symptom and dysuria.Diagnosis:In addition to prostate cancer, abdominal computed tomography (CT) scanning and magnetic resonance imaging (MRI) of the prostate revealed that a cystic mass was located at right pelvic cavity. Histopathological examination diagnosed the pelvic cystic mass as metastasis from prostatic cancer. Immunohistochemistry results demonstrated Calretinin (+), D2-40 (−), Ki-67 (10%+), Vimentin (−), CK-pan (+), CK5/6 (−), WT-1 (−), PSA (+), SALL4 (−), Villin (−), CK20 (−), CK7 (−), PAX-8 (−), and TTF-1 (−).Interventions:The cystic mass was removed. Primary cancer of the prostate was reserved as well. After discharge, the patient underwent in a two-year androgen deprivation therapy (ADT) treatment.Outcomes:After 13 months of discharge, no disease progression was found in the patient.Lessons:Although cystic prostate cancer is rare, the occurrence possibility should be considered when cystic lesions are accompanied with prostate cancer.

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Section: Discussionmentioning

confidence: 99%

Cystic metastasis of prostate cancer

Zhang¹,

Bian²,

et al. 2018

Medicine

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3-Tesla-MRT von seltenen zystisch imponierenden Prostatakarzinomen

Thiele

Hippe

Steiner

et al. 2014

Urologe

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Magnetic resonance imaging of rare cystic prostate cancers using multiparametric MRI (mp-MRI, 3 Tesla) shows, especially in solid tumor masses, the criteria of ESUR-MR classification with a PI-RADS >3 ("probably malignant"). In association with additional morphological evidence of intracystic hemorrhage and evidence of villous tumor nodules and irregular septa on the cyst wall, further malignancy criteria are met. MRI complementary to TRUS may be useful for targeted biopsy in solid tumor areas.

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Riesiges, vorwiegend zystisches Lokalrezidiv eines Prostatakarzinoms. Darstellung in der Sonographie und Computertomographie

Cited by 2 publications

References 0 publications

Cystic metastasis of prostate cancer

Cystic metastasis of prostate cancer

3-Tesla-MRT von seltenen zystisch imponierenden Prostatakarzinomen

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