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Seminal Vesicles Metastasis from Small Cell Lung Cancer: A Rare Entity

小細胞肺癌合併儲精囊轉移-病例報告

摘要


小細胞肺癌合併儲精囊轉移是少見的。我們報導一位五十九歲男性在2011年1月被診斷左上肺葉小細胞肺癌侷限型並且接受化學治療及放射線治療,在門診規則追蹤。此次來急診因為肛門疼痛及解尿疼痛。腹部電腦斷層發現在左側的儲精囊有一顆8×5.5公分的腫瘤。經直腸超音波指引切片病理報告呈現小細胞肺癌。此病人再次接受化學治療並放射線治療,在治療後三個月追蹤此病人左側儲精囊及症狀皆完全消除。在治療腫瘤病人有解尿疼痛的情況必須多方面去思考包含泌尿器官的轉移。

並列摘要


Seminal vesicle metastasis of a primary small cell lung cancer (SCLC) is rare. We present the case of a 59-year-old male who was diagnosed with SCLC of the left upper lung in January 2011 and was treated with chemotherapy and radiotherapy. He was later admitted for complaints of anal pain and dysuria during his regular follow-up. Abdominal computed tomography scan revealed an 8×5.5 cm mass in the left seminal vesicle. Histopathology after trans-rectal ultrasound-guided biopsy confirmed the diagnosis of SCLC. The patient then underwent concurrent chemo-radiotherapy (CCRT). His post-CCRT follow-up at 3 months showed complete response and no recurrence. The management of patients with lung cancer and dysuria should consist of a multi-disciplinary approach, and urologic organ metastasis should be included among the differential diagnoses.

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