Garai & Pandey (2010) wrote a case report involving an 84-year-old man who had disseminated prostate cancer. The patients’ prostate cancer was diagnosed primarily with endobronchial biopsy. After the patient presented with weight loss and hemoptysis a bronchoscopy was done, which showed he had a mucosal irregularity and possible tumor in his right intermediate bronchus. The patient had a previous right hemicolectomy and adjuvant chemotherapy done from a cecal carcinoma. A chest radiograph was taken and showed a right hilar mass with scattered nodules in both lungs. A bronchial biopsy revealed a differentiated adenocarcinoma similar to a prostate adenocarcinoma. (See Figure 3) The tumor cells were combined with PSA and confirmed it was a metastasis from the prostate. The patient had no symptoms to suggest prostate cancer and underwent a digital rectal exam where his prostate was hard. The patient was diagnosed with prostate cancer, with a prostate biopsy deemed unnecessary, and underwent hormone therapy and bilateral subcapular orchidectomy.
Prostate carcinoma rarely presents as an endobronchial metastasis, with only 8 incidences of it happening, this case was the third known of the 8. This case is unique in that is needed immunohistochemistry done to confirm it was prostate cancer, and that the patient present with symptoms, hemoptysis and weight loss, that simulate a primary neoplasm. Because of the patients previous history of colorectal cancer he was originally thought to have metastatic colorectal cancer and primary bronchogenic carcinoma. This case shows how important it is to get a full histological confirmation before any treatment plan is implemented and also the importance of prostate screening. Histopathologists need to be aware of the possibility of endobronchial metastases from an asymptomatic extrepulmanary tumor.
Garai & Pandey (2010) wrote a case report involving an 84-year-old man who had disseminated prostate cancer. The patients' prostate cancer was diagnosed primarily with endobronchial biopsy. After the patient presented with weight loss and hemoptysis a bronchoscopy was done, which showed he had a mucosal irregularity and possible tumor in his right intermediate bronchus. The patient had a previous right hemicolectomy and adjuvant chemotherapy done from a cecal carcinoma. A chest radiograph was taken and showed a right hilar mass with scattered nodules in both lungs. A bronchial biopsy revealed a differentiated adenocarcinoma similar to a prostate adenocarcinoma. (See Figure 3) The tumor cells were combined with PSA and confirmed it was a metastasis from the prostate. The patient had no symptoms to suggest prostate cancer and underwent a digital rectal exam where his prostate was hard. The patient was diagnosed with prostate cancer, with a prostate biopsy deemed unnecessary, and underwent hormone therapy and bilateral subcapular orchidectomy.Prostate carcinoma rarely presents as an endobronchial metastasis, with only 8 incidences of it happening, this case was the third known of the 8. This case is unique in that is needed immunohistochemistry done to confirm it was prostate cancer, and that the patient present with symptoms, hemoptysis and weight loss, that simulate a primary neoplasm. Because of the patients previous history of colorectal cancer he was originally thought to have metastatic colorectal cancer and primary bronchogenic carcinoma. This case shows how important it is to get a full histological confirmation before any treatment plan is implemented and also the importance of prostate screening. Histopathologists need to be aware of the possibility of endobronchial metastases from an asymptomatic extrepulmanary tumor.
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Garai & Pandey (2010) wrote a case report involving an 84-year-old man who had disseminated prostate cancer. The patients' prostate cancer was diagnosed primarily with endobronchial biopsy. After the patient presented with weight loss and hemoptysis a bronchoscopy was done, which showed he had a mucosal irregularity and possible tumor in his right intermediate bronchus. The patient had a previous right hemicolectomy and adjuvant chemotherapy done from a cecal carcinoma. A chest radiograph was taken and showed a right hilar mass with scattered nodules in both lungs. A bronchial biopsy revealed a differentiated adenocarcinoma similar to a prostate adenocarcinoma. (See Figure 3) The tumor cells were combined with PSA and confirmed it was a metastasis from the prostate. The patient had no symptoms to suggest prostate cancer and underwent a digital rectal exam where his prostate was hard. The Patient was diagnosed with prostate Cancer, with a prostate biopsy Deemed unnecessary, and underwent Hormone Therapy and bilateral Subcapular Orchidectomy.
Prostate carcinoma rarely Presents as an Endobronchial metastasis, with only 8 incidences of it Happening, this Case was the third Known of the 8. . This case is unique in that is needed immunohistochemistry done to confirm it was prostate cancer, and that the patient present with symptoms, hemoptysis and weight loss, that simulate a primary neoplasm. Because of the patients previous history of colorectal cancer he was originally thought to have metastatic colorectal cancer and primary bronchogenic carcinoma. This case shows how important it is to get a full histological confirmation before any treatment plan is implemented and also the importance of prostate screening. Histopathologists need to be aware of the possibility of endobronchial metastases from an asymptomatic extrepulmanary tumor.
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Garai & Pandey (2010) wrote a case report involving an 84-year - old man who had disseminated prostate cancer. The patients. ' Prostate cancer was diagnosed primarily with endobronchial biopsy. After the patient presented with weight loss and hemoptysis. A bronchoscopy was done which showed, he had a mucosal irregularity and possible tumor in his right intermediate bronchus.The patient had a previous right hemicolectomy and adjuvant chemotherapy done from a cecal carcinoma. A chest radiograph. Was taken and showed a right hilar mass with scattered nodules in both lungs. A bronchial biopsy revealed a differentiated. Adenocarcinoma similar to a prostate adenocarcinoma.(See Figure 3) The tumor cells were combined with PSA and confirmed it was a metastasis from the prostate. The patient. Had no symptoms to suggest prostate cancer and underwent a digital rectal exam where his prostate was hard. The patient. Was diagnosed with prostate cancer with a, prostate biopsy, deemed unnecessary and underwent hormone therapy and bilateral. Subcapular orchidectomy.
.Prostate carcinoma rarely presents as an, endobronchial metastasis with only 8 incidences of, it happening this case was. The third known of the 8. This case is unique in that is needed immunohistochemistry done to confirm it was, prostate cancer. And that the patient present with symptoms hemoptysis and, weight loss that simulate, a primary neoplasm.Because of the patients previous history of colorectal cancer he was originally thought to have metastatic colorectal cancer. And primary bronchogenic carcinoma. This case shows how important it is to get a full histological confirmation before any. Treatment plan is implemented and also the importance of prostate screening.Histopathologists need to be aware of the possibility of endobronchial metastases from an asymptomatic extrepulmanary tumor.
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