[Non-palpable prostatic cancer. Cure with adenomectomy?].
The currently growing importance of prostate cancer (PC) is given by the large increase in the number of cases diagnosed with this condition, to a great extent due to the diffusion of the most recent diagnostic techniques. Together with the traditional rectal examination, we have available today the PSA (prostate specific antigen) and the transrectal ultrasound, which allow to diagnose tumours undetectable with palpation. This paper presents the case of a male patient with high levels of PSA (in metastatic values), normal rectal examination and three series of negative prostate biopsies in spite of a high suspicion of PC, the diagnosis being confirmed after adenomectomy, with a subsequent PSA levels normalization, these levels remaining below 3 ng/ml after 22 months follow-up, which allows to think of a "recovery" (?) with just the removal of the prostate adenoma.
Cambronero Santos
J
J
Servicio de Urología, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid.
Carrero López
V
V
Ortiz Vico
F J
FJ
Calahorra Fernández
L
L
Rodríguez Antolín
A
A
Passas Martínez
J
J
Leiva Galvis
O
O
D006801:Humans; D008297:Male; D008875:Middle Aged; D010173:Palpation; D017430:Prostate-Specific Antigen / Q000097:blood; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000097:blood / Q000175:diagnosis / Q000601:surgery*
D017430:Prostate-Specific Antigen