Prostatic cancer presenting as palpable lymph-node metastases: A case report

Ryuji Fujita, Atsushi Nagai, Masaya Tsugawa, Yasutomo Nasu, Tomoyasu Tsushima, Hiroyuki Ohmori

Research output: Contribution to journalArticle

Abstract

A 48-year-old man visited our hospital complaining of nodules in the left neck. Physical examination revealed firm, smooth and movable masses of 1 to 2 cm in diameter in the bilateral neck, and in the left supraclavicular, bilateral axillar anti bilateral inguinal regions. On digital rectal examination, a hen's egg sized, smooth and elastic firm prostate was observed. The serum prostatic acid phosphatase and prostate-specific antigen levels were elevated. Needle biopsy of the prostate showed poorly differentiated adenocarcinoma. Treatment with LH-RH agonist, diethylstilbestrol diphosphate, ifosfamide and cisplatinum was effective and the patient has responded well. The enlarged lymph nodes have since shrunk markedly, and the serum prostatic acid phosphatase and prostate-specific antigen levels have also fallen to normal levels. This case indicated the presence of an unusual prostatic cancer in which non-regional superficial lymph-node metastases occurred.

Original languageEnglish
Pages (from-to)41-43
Number of pages3
JournalNishinihon Journal of Urology
Volume58
Issue number1
Publication statusPublished - Jan 1 1996

Keywords

  • lymph node metastases
  • prostatic cancer

ASJC Scopus subject areas

  • Urology

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  • Cite this

    Fujita, R., Nagai, A., Tsugawa, M., Nasu, Y., Tsushima, T., & Ohmori, H. (1996). Prostatic cancer presenting as palpable lymph-node metastases: A case report. Nishinihon Journal of Urology, 58(1), 41-43.