A Case of Neuroendcrine Carcinoma of the Prostate Diagnosed by Prostate Re-Biopsy during Hormonal Treatment and Effectively Treated by Multidisciplinary Therapy
-
- Kimura Shoichi
- The Department of Urology, Miyazaki University Hospital
-
- Terada Naoki
- The Department of Urology, Miyazaki University Hospital
-
- Akioka Takahiro
- The Department of Urology, Miyazaki University Hospital
-
- Nakahara Tomoko
- Fujimoto General Hospital
-
- Nagano Masahumi
- Fujimoto General Hospital
-
- Yamamoto Koji
- The Section of Oncopathology and Regenerative Biology, Department of Pathology, Miyazaki University Hospital
-
- Akiyama Yutaka
- The Section of Oncopathology and Regenerative Biology, Department of Pathology, Miyazaki University Hospital
-
- Sato Yuichiro
- The Division of Pathophysiology, Department of Pathology, Miyazaki University Hospital
-
- Otsuka Isamu
- The Department of Urology, Miyazaki University Hospital
-
- Kimura Tomoya
- The Department of Urology, Miyazaki University Hospital
-
- Hida Takuya
- The Department of Urology, Miyazaki University Hospital
-
- Okabe Ko
- The Department of Urology, Miyazaki University Hospital
-
- Takamori Hiroki
- The Department of Urology, Miyazaki University Hospital
-
- Kida Kazutaka
- The Department of Urology, Miyazaki University Hospital
-
- Kamimura Toshio
- The Department of Urology, Miyazaki University Hospital
-
- Mukai Shoichiro
- The Department of Urology, Miyazaki University Hospital
-
- Kamoto Toshiyuki
- The Department of Urology, Miyazaki University Hospital
Bibliographic Information
- Other Title
-
- 前立腺癌治療中の前立腺再生検で診断した神経内分泌癌に対して集学的治療が奏効した1例
- ゼンリツセン ガン チリョウ チュウ ノ ゼンリツセン サイセイケン デ シンダン シタ シンケイ ナイブンピガン ニ タイシテ シュウガクテキ チリョウ ガ ソウコウ シタ 1レイ
Search this article
Abstract
A 73-year-old Japanese man visited the urology clinic with the chief complaint of gross hematuria in June 2015. His prostate specific antigen (PSA) level was 146.7 ng/ml and he was diagnosed with prostate adenocarcinoma with a Gleason Score of 5+4. With bone metastasis in the right femur (cT3aN0M1), he was treated by orchiectomy and bicalutamide. He had gross hematuria in October 2017 and a prostate tumor was detected by computed tomography (CT) and magnetic resonance imaging without increasing PSA levels. Prostate re-biopsy showed prostate neuroendocrine carcinoma and local radiation therapy (74 Gy) was performed. Follow-up CT revealed a left adrenal tumor with a positive positron emission tomographic scan in October 2018. Under the diagnosis of metastatic neuroendocrine carcinoma, chemotherapy using cisplatinum and etoposide was performed. The tumor shrunk after five courses of treatment, followed by regrowth in April 2019. Radiation therapy (50 Gy) was added to the left adrenal tumor and it shrunk again. However, a left retroperitoneal tumor was detected in July 2019 and it was resected under laparoscopic surgery and diagnosed as metastatic neuroendocrine carcinoma. Since then, no recurrence has been observed.
Journal
-
- 泌尿器科紀要
-
泌尿器科紀要 66 (3), 91-96, 2020-03-31
泌尿器科紀要刊行会
- Tweet
Details 詳細情報について
-
- CRID
- 1390009224799510784
-
- NII Article ID
- 120006840137
-
- NII Book ID
- AN00208315
-
- HANDLE
- 2433/250473
-
- NDL BIB ID
- 030329010
-
- ISSN
- 00181994
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- IRDB
- NDL
- CiNii Articles
-
- Abstract License Flag
- Allowed