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台灣泌尿科醫學會雜誌

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篇名 Metastatic Prostate Cancer Found Incidentally during an Inguinal Herniorrhaphy: A Case Report
卷期 18:1
並列篇名 轉移攝護腺癌意外發現於疝氣修補:病例報告
作者 林漢青張圖豪李經家吳文正黃俊雄
頁次 039-041
出刊日期 200703

中文摘要

攝護腺癌在早期大都沒有任何症狀,唯有靠肛門檢查(指檢)、抽血中攝護腺特異性抗原(PSA)或超音波檢查方能早期診斷,攝護腺癌會經由穿透包膜的方式來擴散,侵犯周圍的組織如儲精囊,直腸,鼠蹊部淋巴,及骨頭。晚期前列腺癌常見的骨頭痛往往是來自腫瘤細胞已經轉移到脊椎,骨盆,及肋骨。我們提出一個罕見的病例是在疝氣修補時意外發現攝護腺癌。

英文摘要

Prostate cancer usually causes no symptoms. It is often noticed during a digital rectal examination, or transrectal ultrasound, or when an elevated PSA level is detected. The spread of prostate cancer can be detected by the presence of prostate cancer cells in areas surrounding the prostate, such as the seminal vesicles, lymph nodes in the groin area, the rectum, and pubic bones. Advanced prostate cancer may cause additional symptoms. The most common symptom is bone pain, often in the vertebrae, pelvis, or ribs, from cancer which has spread to these bones. We report an unusual case of metastatic prostate cancer which was found incidentally during repair of an inguinal hernia and highlight the possibility of direct invasion of the peritoneal cavity by prostate cancer cells.

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