Rare presentation of discrete ureteral metastasis from prostate adenocarcinoma
作者
Che-Yuan Kuo, Shian-Shiang Wang, Chen-Hui Lee, Yen-Chuan Ou
卷期/出版年月
49卷6期 (2016/12)
頁次
242-244
摘要
from prostate cancer in a 65-year-old man who presented with lower urinary tract
symptoms. The initial prostate-specific antigen level was 372 ng/mL, and the Gleason score was 9 (4 + 5). Abdominal computed tomography revealed right hydronephroureter and bony metastasis but no obvious lymphadenopathy. The patient underwent bilateral orchiectomy. After 6 months, the metastasized lesion in the middle ureter was completely resolved, as determined through ureteroscopy. After hormone therapy, the prostate-specific antigen level
decreased to <0.5 ng/mL. Discrete ureteral metastasis should be considered in advanced prostate cancer patients with obstructive uropathy.