Prostate Cancer in a Patient with Multiple Pulmonary Metastases Alone andRespiratory Symptoms
10.2185/jrm.2875
- Author:
Toshihiko Fukuoka
- Publication Type:Journal Article
- Keywords:
prostate carcinoma;
pulmonary metastases alone;
PSA
- From:Journal of Rural Medicine
2014;9(1):27-31
- CountryJapan
- Language:English
-
Abstract:
An 87-year-old man was admitted complaining of cough after he had been treated with drugsat 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 ofthe prostate by contrast medium, though this finding was considered nonspecific andnondiagnostic. A CT-guided biopsy of a lung tumor was performed, and the lung tumor wasfound to be positive for prostate-specific antigen (PSA). Prostate carcinoma was diagnosedby prostate biopsy, which yielded the same findings as the lung tumor. The serum PSA levelwas high. No metastases except for pulmonary lesions were observed on a bone scintigramand abdominal CT. Prostate carcinoma with pulmonary metastases alone was thereforediagnosed. The present case represents a rare case of pulmonary metastases without anyother metastases.
