Delayed Diagnosis of a 67-Year-Old Man with an Atypical Presentation of Prostate Cancer: A Case Report

一位67歲男性攝護腺癌病患以非典型表現而延遲診斷－個案報告

葉宏明(Horng-Ming Yeh) ； 陳俊旭(Jen-Shi Chen)

《台灣老年醫學暨老年學雜誌》 9卷1期 (2014/02) Pp. 50-56

https://doi.org/10.29461/TGG.201402_9(1).0005

摘要

攝護腺癌是男性最常被診斷的癌症。病患常因腫瘤腫大所引起的頻尿、夜尿、排尿困難、解尿灼熱感等表現而來求診。但是攝護腺癌也常以非典型的表現而著稱。我們在此報告一位67歲男性攝護腺癌病患，以背痛和體重減輕等不典型症狀來表現，經過九個月才獲得診斷。攝護腺癌的發生率在最近20年來的增加相當迅速，基層醫師應該熟悉攝護腺癌的表現，才能審慎的診斷和治療病患。

關鍵字

攝護腺癌 ； 轉移 ； 壓迫性骨折

並列摘要

Prostate adenocarcinoma is one of the most commonly diagnosed cancers in men. Patients with this disease commonly present with increased urinary frequency and hesitancy, nocturia, and dysuria secondary to tumor enlargement. Prostate cancer is also notorious for its atypical presentation. Bone involvement is present in 90% of metastatic prostate cancer cases and the differentiation of compression fractures is important in elderly patients. We herein present the case of a 67-year-old male with an atypical presentation of back pain and body weight loss.

並列關鍵字

prostate cancer ； metastasis ； compression fracture