title: Prostate cancer in a patient with multiple pulmonary metastases alone and respiratory symptoms.
abstract: An 87-year-old man was admitted complaining of cough after he had been treated with drugs at another hospital. Chest X-ray revealed multiple nodules, and chest computed tomography (CT) showed metastatic lung tumors. Abdominal CT revealed staining of the outer portion of the prostate by contrast medium, though this finding was considered nonspecific and nondiagnostic. A CT-guided biopsy of a lung tumor was performed, and the lung tumor was found to be positive for prostate-specific antigen (PSA). Prostate carcinoma was diagnosed by prostate biopsy, which yielded the same findings as the lung tumor. The serum PSA level was high. No metastases except for pulmonary lesions were observed on a bone scintigram and abdominal CT. Prostate carcinoma with pulmonary metastases alone was therefore diagnosed. The present case represents a rare case of pulmonary metastases without any other metastases.
authors: Department of Health Management Center, JA Toride Medical Center Hospital, Japan.
authors: Toshihiko
authors: T
authors: Fukuoka
keywords: PSA; prostate carcinoma; pulmonary metastases alone
references: Arch Pathol Lab Med. 1994 Nov;118(11):1123-6
references: 7526818
references: J Urol. 1987 May;137(5):894-6
references: 2437333
references: J Comput Assist Tomogr. 1999 Sep-Oct;23 (5):761-3
references: 10524863
references: Eur Urol. 2000 Sep;38(3):250-4
references: 10940696
references: Cancer. 1995 Jun 1;75(11):2706-9
references: 7743474
references: Urol Int. 1999;62(1):44-7
references: 10436432
references: Mil Med. 2000 Dec;165(12):973-4
references: 11149072
references: J Urol. 1999 Dec;162(6):2102
references: 10569587
references: Hum Pathol. 2000 May;31(5):578-83
references: 10836297
references: Int Urol Nephrol. 2003;35(2):189-92
references: 15072491
references: Cancer. 1984 Dec 15;54(12):3078-84
references: 6498785
references: World J Surg Oncol. 2010 Nov 19;8:101
references: 21092117