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

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...

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Bibliographic Details
Main Authors: Riccardo Boschian, Michele Rizzo, Lorenzo Zandonà, Carlo Trombetta, Giovanni Liguori
Format: Article
Language:English
Published: PAGEPress Publications 2018-03-01
Series:Archivio Italiano di Urologia e Andrologia
Subjects:
PSA
Online Access:http://www.pagepressjournals.org/index.php/aiua/article/view/6983
Description
Summary: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.
ISSN:1124-3562
2282-4197