A Case of Difficult-to-Diagnose Carcinomatous Meningitis Caused by Prostate Cancer Metastasis
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- Shinohara, Masatake
- The Department of Urology, Osaka Gyoumeikan Hospital
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- Kiba, Keisuke
- The Department of Urology, Nara Hospital Kinki University Faculty of Medicine
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- Yamada, Atsushi
- The Department of Urology, Osaka Gyoumeikan Hospital
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- Hatakeyama, Kinta
- The Department of Diagnostic Pathology, Nara Medical University
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- Mita, Yasunobu
- The Department of Neurosurgery, Yamamoto Third Hospital
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- Saka, Toshihisa
- The Department of Urology, Osaka Gyoumeikan Hospital
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- Hirao, Yoshihik
- The Department of Urology, Osaka Gyoumeikan Hospital
Bibliographic Information
- Other Title
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- 診断に苦慮した前立腺癌髄膜癌腫症の1例
- シンダン ニ クリョ シタ ゼンリツセン ガン ズイマク ガンシュショウ ノ 1レイ
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Abstract
A 66-year-old man was referred to our hospital because of right leg pain. Computed tomography (CT) revealed multiple osteolytic changes. His serum prostate-specific antigen (PSA) level was increased to 77.83 ng/ml at the time of hospitalization. A prostate biopsy was performed, and histological examination results indicated poorly differentiated adenocarcinoma. Under the diagnosis of multiple bone metastasis of prostate cancer, androgen deprivation therapy was started. However, 1 month later, the patient was confused and lost appetite. Brain CT image demonstrated brain metastasis, and magnetic resonance image showed hydrocephalus. Although the patient underwent ventricular drainage because of a depressed level of consciousness, he died of primary disease complicated by pneumonia 3 months after the first visit. Perioperative cerebrospinal fluid cytological examination revealed adenocarcinoma cells. Therefore, a diagnosis of carcinomatous meningitis caused by prostate cancer metastasis was made.
Journal
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- Hinyokika Kiyo
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Hinyokika Kiyo 62 (5), 265-269, 2016-05-31
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Keywords
Details 詳細情報について
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- CRID
- 1050001335835569280
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- NII Article ID
- 120005766964
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- NII Book ID
- AN00208315
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- ISSN
- 00181994
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- HANDLE
- 2433/215099
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- NDL BIB ID
- 027321890
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- Text Lang
- ja
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- Article Type
- departmental bulletin paper
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- Data Source
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- IRDB
- NDL
- CiNii Articles