Paget's Disease Mimicking Metastatic Prostate Cancer on Bone Scan Image : A Case Report

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  • Fukushi, Ken
    The Department of Urology, Hirosaki University Graduate School of Medicine
  • Koie, Takuya
    The Department of Urology, Hirosaki University Graduate School of Medicine
  • Yamamoto, Hayato
    The Department of Urology, Hirosaki University Graduate School of Medicine
  • Okamoto, Akiko
    The Department of Urology, Hirosaki University Graduate School of Medicine
  • Imai, Atsushi
    The Department of Urology, Hirosaki University Graduate School of Medicine
  • Hatakeyama, Shingo
    The Department of Urology, Hirosaki University Graduate School of Medicine
  • Yoneyama, Takahiro
    The Department of Urology, Hirosaki University Graduate School of Medicine
  • Hashimoto, Yasuhiro
    The Department of Urology, Hirosaki University Graduate School of Medicine
  • Ohyama, Chikara
    The Department of Urology, Hirosaki University Graduate School of Medicine

Bibliographic Information

Other Title
  • 前立腺癌骨転移との鑑別が困難であった骨パジェット病の1例
  • ゼンリツセン ガン コツ テンイ ト ノ カンベツ ガ コンナン デ アッタ ホネ パジェットビョウ ノ 1レイ

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Description

A 61-year-old man was referred to our hospital complaining of elevated serum prostate-specific antigen (PSA) (5.1 ng/ml). Histopathologic diagnosis with trans-rectal prostate biopsy specimen was adenocarcinoma, Gleason score 4＋5＝9. Bone scintigraphy revealed an abnormal uptake on left coxal bone. The patient was diagnosed with prostate cancer with bone metastasis. He received androgen deprivation therapy for two years. Serum PSA decreased to an undetected level. However, the abnormal activity of left coxal bone lesion was not changed on bone scintigraphy. Coxal bone biopsy was performed. The bone lesion was histopathologically diagnosed as Paget's disease of bone.

Journal

  • Hinyokika Kiyo

    Hinyokika Kiyo 59 (4), 247-250, 2013-04

    泌尿器科紀要刊行会

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