Author/Authors :
Degheili, Jad A. Division of Urology - Department of Surgery - American University of Beirut-Medical Center - Beirut, Lebanon , Abou Heidar, Nassib F. Division of Urology - Department of Surgery - American University of Beirut-Medical Center - Beirut, Lebanon , Bustros, Gerges Division of Urology - Department of Surgery - American University of Beirut-Medical Center - Beirut, Lebanon , El-Asmar, Jose M. Division of Urology - Department of Surgery - American University of Beirut-Medical Center - Beirut, Lebanon , Sabatto, Bassel Zein Department of Pathology and Laboratory Medicine - American University of Beirut-Medical Center - Riad El-Solh - Beirut, Lebanon
Abstract :
Prostate cancer is the most common visceral malignancy among men. It rarely metastasizes to the testicles. We herein present thecase of a male patient who underwent a radical prostatectomy for a grade group 3 Gleason score 7 (4+3) prostate adenocarcinomafollowed by adjuvant radiation therapy and continuous androgen deprivation therapy after hisfirst biochemical recurrence. Despiteoptimal management, prostate-specific antigen (PSA) levels rose back up, upon which a PET/CT68Gallium scan demonstrated anisolated left testicular lesion that turned out to be of prostatic origin following orchiectomy. Testicular metastases from prostatecancer are of unknown prognosis, and the current treatment modality favors an orchiectomy.
Keywords :
Isolated Testicular Metastasis Diagnosed , Decadeand , Half Post Primary Treatment , Prostate Cancer , PSA
