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 journalArticlepeer-review

    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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