根治性前列腺切除术后4年前列腺癌远端输尿管转移

IF 0.4 Q4 UROLOGY & NEPHROLOGY Urology Case Reports Pub Date : 2025-03-01 Epub Date: 2025-01-15 DOI:10.1016/j.eucr.2025.102949
Sachin J. Joshi , William J. Yaxley , Devang J. Desai
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引用次数: 0

摘要

我们描述了一个78岁的男性病例,他患有Gleason评分9分的前列腺癌病史,接受了机器人辅助根治性前列腺切除术,四年后出现了右侧输尿管梗阻症状。诊断评价显示右侧肾盂积水。进一步与前列腺特异性抗原(PSA)和远端输尿管切除术再植入术的组织病理学的相关性显示转移性前列腺癌是梗阻的原因,偶发局灶性原位癌(CIS)也被确定。本病例突出了前列腺癌输尿管转移的诊断挑战和管理策略,并有助于这类病例的有限文献。
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Distant ureteric metastasis of prostate cancer four years post radical prostatectomy
We describe a case of a 78-year-old male with a history of Gleason score 9 prostate cancer treated with a robotic-assisted radical prostatectomy, who developed symptoms of right ureteric obstruction four years later.
Diagnostic evaluation revealed right sided hydroureteronephrosis on imaging. Further correlation with prostate specific antigen (PSA) and histopathology from a distal ureterectomy with reimplantation revealed metastatic prostate cancer as the cause of obstruction with incidental focal carcinoma in situ (CIS) also identified.
This case highlights the diagnostic challenges and management strategies for ureteric metastasis of prostate cancer and contributes to the limited body of literature on such cases.
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来源期刊
Urology Case Reports
Urology Case Reports Medicine-Urology
CiteScore
0.90
自引率
20.00%
发文量
325
审稿时长
37 days
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