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Pulmonary recurrence from prostate cancer and biochemical remission after metastasis directed therapy. A case report

Riccardo Boschian, Michele Rizzo, Lorenzo Zandonà, Carlo Trombetta, Giovanni Liguori
  • Riccardo Boschian
    Department of Urology, University of Trieste, Trieste, Italy | rboschian@gmail.com
  • Michele Rizzo
    Department of Urology, University of Trieste, Trieste, Italy
  • Lorenzo Zandonà
    Institute of Pathological Anatomy and Histology, University of Trieste, Trieste, Italy
  • Carlo Trombetta
    Department of Urology, University of Trieste, Trieste, Italy
  • Giovanni Liguori
    Department of Urology, University of Trieste, Trieste, Italy

Abstract

We report a case of a 69-years-old man who presented with a solitary 1 cm nodule in the lower lobe of the left lung almost 3 years after radical prostatectomy for pT3aN0M0, Gleason score 4+3 disease, without evidence of osseous or lymphatic spread. Surgical resection of the pulmonary lobe confirmed the metastatic nature of the lesion, with subsequent reduction of serum PSA to undetectable levels. After 2 years from the metastasis resection, serum PSA is still undetectable, without the necessity of additional treatments. Solitary pulmonary metastases from prostate cancer (Pca) are rare in clinical practice, with only 29 previous cases described besides the one that we present.

Keywords

Prostate cancer; Recurrence; PSA

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Submitted: 2017-08-09 09:14:03
Published: 2018-03-31 00:00:00
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Copyright (c) 2018 Riccardo Boschian, Michele Rizzo, Lorenzo Zandonà, Carlo Trombetta, Giovanni Liguori

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