Resection of a singular metachronous testicular metastasis of prostate cancer: A case report

Semmler, Marie ; Brinkmann, Isabel; Aydogdu, Can; Pyrgidis, Nikolaos ; Kidess, Marc; Ebner, Benedikt ; Ledderose, Stephan ; Stief, Christian G. ; Marcon, Julian; Apfelbeck, Maria und Chaloupka, Michael (2025): Resection of a singular metachronous testicular metastasis of prostate cancer: A case report. In: Current Problems in Cancer: Case Reports, Bd. 18, 100370

Abstract

We present the case of a 66-year-old patient with a biochemical recurrence of prostate cancer manifesting as an asymptomatic testicular metastasis. Two years after radical prostatectomy and salvage radiation, the prostate-specific antigen (PSA) level rose to 1.07ng/ml. PSMA PET/CT scan showed tracer accumulation in the left testicle. Inguinal orchiectomy confirmed the metastasis. After being non-detectable, the PSA level increased five months after orchiectomy, with PSMA PET/CT revealing positive iliac lymph nodes. In summary, the presented case illustrates orchiectomy as a metastasectomy. However, apart from a transient decrease in PSA, no medium-term oncological advantage could be seen.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin > Klinikum der LMU München > Urologische Klinik und Poliklinik
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 26666219
• Sprache: Englisch