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診断に苦慮した前立腺癌髄膜癌腫症の1例診断に苦慮した前立腺癌髄膜癌腫症の1例AN00208315 A Case of Difficult-to-Diagnose Carcinomatous Meningitis Caused by Prostate Cancer Metastasis |
"/篠原, 雅岳/"篠原, 雅岳 ,
"/喜馬, 啓介/"喜馬, 啓介 ,
"/山田, 篤/"山田, 篤 ,
"/畠山, 金太/"畠山, 金太 ,
"/三田, 泰伸/"三田, 泰伸 ,
"/坂, 宗久/"坂, 宗久 ,
"/平尾, 佳彦/"平尾, 佳彦
62
(
5
)
, pp.265
-
269 , 2016-05-31 , 泌尿器科紀要刊行会
ISSN:0018-1994
NII書誌ID(NCID):AN00208315
内容記述
A 66-year-old man was referred to our hospital because of right leg pain. Computed tomography (CT) revealed multiple osteolytic changes. His serum prostate-specific antigen (PSA) level was increased to 77.83 ng/ml at the time of hospitalization. A prostate biopsy was performed, and histological examination results indicated poorly differentiated adenocarcinoma. Under the diagnosis of multiple bone metastasis of prostate cancer, androgen deprivation therapy was started. However, 1 month later, the patient was confused and lost appetite. Brain CT image demonstrated brain metastasis, and magnetic resonance image showed hydrocephalus. Although the patient underwent ventricular drainage because of a depressed level of consciousness, he died of primary disease complicated by pneumonia 3 months after the first visit. Perioperative cerebrospinal fluid cytological examination revealed adenocarcinoma cells. Therefore, a diagnosis of carcinomatous meningitis caused by prostate cancer metastasis was made.
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http://repository.kulib.kyoto-u.ac.jp/dspace/bitstream/2433/215099/1/62_5_265.pdf