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dc.contributor.authorLee, KA
dc.contributor.authorMayer, E
dc.contributor.authorKhoo, V
dc.date.accessioned2018-02-19T09:58:17Z
dc.date.issued2017-12-05
dc.identifier.citationBMJ case reports, 2017, 2017
dc.identifier.issn1757-790X
dc.identifier.urihttps://repository.icr.ac.uk/handle/internal/1249
dc.identifier.eissn1757-790X
dc.identifier.doi10.1136/bcr-2017-219963
dc.description.abstractA 60-year-old man presented with unilateral testicular pain and urinary frequency. His presenting prostate-specific antigen (PSA) was 100 ng/mL, and a biopsy revealed Gleason 4+4 prostate adenocarcinoma. The significance of his initial PSA was somewhat complicated by possible prostatitis and early initiation of bicalutamide. PSA rose on two occasions prior to radiotherapy but coincided with a flare of testicular pain on one of these. Whole-body staging diffusion-weighted MRI scan was negative. He was treated with 3 years of androgen deprivation therapy (ADT) and radical radiotherapy. PSA fell to undetectable levels on ADT. Twelve months following completion of ADT, PSA rose to 3.6 ng/mL. No disease recurrence was noted on restaging MRI pelvis. The patient was well, except for persistent testicular symptoms, which failed to resolve following multiple antibiotics. Testicular tumour markers were negative. Ultrasound findings were consistent with chronic epididymitis. A right orchidectomy was performed for symptomatic relief, confirming metastatic prostate adenocarcinoma.
dc.formatElectronic
dc.languageeng
dc.language.isoeng
dc.subjectHumans
dc.subjectAdenocarcinoma
dc.subjectTesticular Neoplasms
dc.subjectProstatic Neoplasms
dc.subjectNeoplasm Metastasis
dc.subjectPain
dc.subjectUrination Disorders
dc.subjectDiagnosis, Differential
dc.subjectOrchiectomy
dc.subjectMiddle Aged
dc.subjectMale
dc.titlePainful testicular metastasis from prostate adenocarcinoma.
dc.typeJournal Article
rioxxterms.versionofrecord10.1136/bcr-2017-219963
rioxxterms.licenseref.startdate2017-12-05
rioxxterms.typeJournal Article/Review
dc.relation.isPartOfBMJ case reports
pubs.notesNot known
pubs.organisational-group/ICR
pubs.organisational-group/ICR/Primary Group
pubs.organisational-group/ICR/Primary Group/Royal Marsden Clinical Units
pubs.organisational-group/ICR
pubs.organisational-group/ICR/Primary Group
pubs.organisational-group/ICR/Primary Group/Royal Marsden Clinical Units
pubs.publication-statusPublished
pubs.volume2017
pubs.embargo.termsNot known
dc.contributor.icrauthorMarsden,en


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