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中華民國泌尿科醫學會雜誌

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篇名 Inguinal Lymphadenopathy as an Unusual Initial Manifestation of Prostate Carcinoma
卷期 2:4
並列篇名 攝護腺癌以腹股溝淋巴腺腫大為早期表癥
作者 蘇建銘黃榮慶簡邦平陳偉權余家政吳建德
頁次 638-642
關鍵字 prostate carcinomaimmunohistochemical reactionTSCI
出刊日期 199112

中文摘要

本文報告一例67歲男性攝護腺癌患者以腹股溝淋巴腺腫大為早期表癥。其腹股溝淋巴腺的切片,經攝護腺特殊抗原及酸性磷酸酶的免疫組織化學檢查呈顯陽性反應,確認為攝護腺癌轉移。經尿道切除攝護腺後,該患者也接受二乙合成青春素(diethylstillbestrol)及睪丸切除術。關於攝護腺不尋常的早期表癥,我們回顧了過去有關的文獻報告。因此,遇有男性老年人併有腹股溝淋巴腺腫大。臨床醫生必須考慮到攝護腺癌轉移的可能性。

英文摘要

A 67-year-old man with prostate carcinoma presented initially with inguinal lymphadenopathy is reproted. The positive immunohistochemical reaction for prostate specific antigen (PSA) and prostatic acid phosphatase (PAP) of the biopside lymph nodes indentified the lesion as prostatic in origin. After transurethral resection of the prostate, he was treated with diethylstillbestrol (DES) and orchiectomy. Regarding the unusual initial presentations, several published reports are reviewed. Thus, elderly male with enlarged inguinal lymph nodes should arouse the suspicion of metastatic prostate carcinoma.

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