A case of prostatic metastasis from non‐seminomatous testicular cancer
Taisho Noda, Akira Fujisaki, Kosuke Uchida, Heisuke Iijima, Yasuhiro Hakamata, Yuka Kanda, Shin Imai, Yoshiro Otsuki, Tatsuaki Yoneda- Urology
Introduction
Prostatic metastasis from testicular cancer is extremely rare, with only 10 reported cases, all of which were diagnosed as relapse. Herein, we report the case of a patient with concurrent testicular cancer and prostatic metastasis.
Case presentation
A 57‐year‐old man presented at our emergency department with urinary retention. A painless mass was found in the right scrotum, and computed tomography showed lung, mediastinal, and liver metastases, and an enlarged prostate. Tumor markers were measured in 2057 U/L lactate dehydrogenase, 2460 mIU/mL human chorionic gonadotrophin, 1303 ng/mL alpha‐fetoprotein, and 1.51 ng/mL prostate specific antigen. An orchiectomy and biopsy were performed; the pathological results showed immature teratomas, embryonal carcinomas, choriocarcinomas, and seminomas in the testis, and embryonal carcinomas in the prostate, liver, and mediastinum. The patient refused chemotherapy and died 3 months following diagnosis.
Conclusion
Prostatic metastasis should be considered in cases of dysuria or prostate enlargement in testicular cancers.