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Initial Diagnosis and Detection of Very Late Local Recurrence of a Ductal Prostate Cancer due to a Ureteral Stone.
- Source :
-
Case reports in urology [Case Rep Urol] 2020 Feb 18; Vol. 2020, pp. 5392523. Date of Electronic Publication: 2020 Feb 18 (Print Publication: 2020). - Publication Year :
- 2020
-
Abstract
- We report the case of a 74-year-old patient in whom a ductal prostate cancer was incidentally endoscopically diagnosed in the course of ureteral stenting due to a left distal ureteral stone. The initial PSA was 0.8 μ g/l and the digital rectal examination was not suspicious. A radical prostatectomy was performed, and the ensuing follow-up was unremarkable with no signs of recurrence. Fourteen years later, the patient presented with an obstructive pyelonephritis due to a left-sided ureteral stone requiring ureteral stenting. An exophytic tumor was seen in the lining of vesicourethral anastomosis and surgically excised after the pyelonephritis subsided. The histopathological and immunohistochemical analysis revealed a ductal cancer of the prostate consistent with a late local recurrence. Serum PSA was below the limit of detection. Re-staging performed by an MRI of the pelvis, thoracoabdominal CT scan, and gallium-68 PSMA-PET did not reveal any other signs of disease. The ensuing follow-up is planned with regular flexible cystoscopy and computed thoracoabdominopelvic CT scans.<br />Competing Interests: None of the authors have financial or personal relationships with other people or organizations that could influence their work.<br /> (Copyright © 2020 Manolis Pratsinis et al.)
Details
- Language :
- English
- ISSN :
- 2090-696X
- Volume :
- 2020
- Database :
- MEDLINE
- Journal :
- Case reports in urology
- Publication Type :
- Report
- Accession number :
- 32148999
- Full Text :
- https://doi.org/10.1155/2020/5392523