Prostate adenocarcinoma manifesting as generalized lymphadenopathy.

Moura, Fabiana M; Garcia, Luisimara T; Castro, Lúcia P F; Ferrari, Teresa C A

Moura, Fabiana M; Garcia, Luisimara T; Castro, Lúcia P F; Ferrari, Teresa C A.

Afiliação

Moura FM; Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.

Urol Oncol ; 24(3): 216-9, 2006.

Article em En | MEDLINE | ID: mdl-16678051

RESUMO

Generalized lymphadenopathy is a rare manifestation of metastatic prostate cancer. Here, we report the case of a 65-year-old patient with supraclavicular, mediastinal, hilar, and retroperitoneal lymphadenopathy and pulmonary infiltration, which suggested the diagnosis of lymphoma. There were no urinary symptoms, and the serum prostate-specific antigen (PSA) was only mildly increased with a normal free PSA. A biopsy of the supraclavicular lymph node was compatible with adenocarcinoma, whose prostatic origin was shown by immunohistochemical staining with PSA. The origin of the primary tumor was confirmed by directed prostate biopsy. We emphasize that a suspicion of prostate cancer in men with adenocarcinoma of undetermined origin is important for an adequate diagnostic and therapeutic approach.

Assuntos

Adenocarcinoma/diagnóstico; Doenças Linfáticas/diagnóstico; Neoplasias da Próstata/diagnóstico; Idoso; Diagnóstico Diferencial; Humanos; Masculino; Antígeno Prostático Específico/análise; Tomografia Computadorizada por Raios X

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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Próstata / Adenocarcinoma / Doenças Linfáticas Tipo de estudo: Diagnostic_studies Limite: Aged / Humans / Male Idioma: En Revista: Urol Oncol Assunto da revista: NEOPLASIAS / UROLOGIA Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

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