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Bone dissemination of prostate cancer after holmium laser enucleation of the prostate: A case report and a review of the literature
Author(s) -
Koguchi Dai,
Nishi Morihiro,
Satoh Takefumi,
Shitara Toshiya,
Matsumoto Kazumasa,
Fujita Tetsuo,
Yoshida Kazunari,
Iwamura Masatsugu
Publication year - 2014
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.12248
Subject(s) - medicine , enucleation , prostate , urology , prostate cancer , bone scintigraphy , rectal examination , prostate specific antigen , radiology , cancer , surgery
We report a case of dissemination of prostate cancer after holmium laser enucleation of the prostate in an 80‐year‐old patient. The patient presented at hospital because of nocturia. Transrectal ultrasound‐guided biopsy was carried out because of high serum prostate‐specific antigen (3.55 ng/mL), but it showed no malignancies. Benign prostate hyperplasia was diagnosed, and he was started on an α1‐blocker. Although the urinary symptom improved with silodosin, acute urinary retention occurred 3 years after therapy began. Holmium laser enucleation of the prostate for relief of bladder outlet obstruction enabled discharge of urine. Pathological examination of the resected tissue found adenocarcinoma with a high G leason score, 4 + 5. Serum alkaline phosphatase increased rapidly after holmium laser enucleation, and bone scintigraphy confirmed multiple bone metastases. Prostate cancer, T1bN0M1b , was diagnosed.