Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press129010.17650/1726-9776-2020-16-4-207-212REVIEWОБЗОРMetastatic testicular and epididymal lesions in a patient with advanced prostate cancer: a case report and literature reviewМетастатическое поражение яичка и придатка яичка при распространенном раке предстательной железы: клинический случай и обзор литературыhttps://orcid.org/0000-0001-5183-5153RevaS. A.РеваС. А.
Russian Federation

6—8L’va Tolstogo St., Saint-Petersburg 197022

197022 Санкт-Петербург, ул. Льва Толстого, 6—8

https://orcid.org/0000-0003-3592-3107LyublinskayaA. A.ЛюблинскаяА. А.
Russian Federation

6—8L’va Tolstogo St., Saint-Petersburg 197022

Алена Алексеевна Люблинская

197022 Санкт-Петербург, ул. Льва Толстого, 6—8

7505898@mail.ruhttps://orcid.org/0000-0001-5795-337XProkhorovD. G.ПрохоровД. Г.
Russian Federation

70 Leningradskaya St., Pesochnyy, Saint-Petersburg 197758

197758Санкт-Петербург, пос. Песочный, ул. Ленинградская, 70

https://orcid.org/0000-0002-1904-5108PygamovK. G.ПыгамовК. Г.
Russian Federation

6—8L’va Tolstogo St., Saint-Petersburg 197022

197022 Санкт-Петербург, ул. Льва Толстого, 6—8;

TyurinA. G.ТюринА. Г.
Russian Federation

6—8L’va Tolstogo St., Saint-Petersburg 197022

197022 Санкт-Петербург, ул. Льва Толстого, 6—8;

SychevaА. M.СычеваА. М.
Russian Federation

6—8L’va Tolstogo St., Saint-Petersburg 197022

197022 Санкт-Петербург, ул. Льва Толстого, 6—8;

PetrovS. B.ПетровС. Б.
Russian Federation

6—8L’va Tolstogo St., Saint-Petersburg 197022

197022 Санкт-Петербург, ул. Льва Толстого, 6—8;

I.P. Pavlov First Saint-Petersburg State Medical University, Ministry of Health of RussiaФГБОУ ВО Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова Минздрава РоссииФГБОУ ВО Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова Минздрава РоссииI.P. Pavlov First Saint-Petersburg State Medical University, Ministry of Health of RussiaФГБУ Российский научный центр радиологии и хирургических технологий им. акад. А.М. Гранова Минздрава РоссииRussian Scientific Center for Radiology and Surgical Technologies named after acad. A.M. Granova, Ministry of Health of RussiaФГБОУ ВО Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова Минздрава РоссииI.P. Pavlov First Saint-Petersburg State Medical University, Ministry of Health of Russia301220201642072122104202018082020https://oncourology.abvpress.ru/oncur/article/view/1290

Prostate cancer (PCa) is a second of the most commonly diagnosed carcinoma in the male population. Usually sites of secondary lesions are lymph nodes and bones. Most cases of testicular metastases are incidentally diagnosed after orchiectomy.

We present a case of 62-year-old man with metastatic castration-resistant PCa and symptomatic testicular metastasis with contralateral epididymal metastasis. Right site radical orchiectomy and left site orchiectomy was performed. The pathology report identified PCa metastases in the right testis and in the left epididymis.

Testicular and epididymal metastases are uncommon in PCa. Therefore, a testicular physical examination is necessary for patients with PCa. Physicians have to keep in mind the possibility of testicular metastasis in cases of biochemical recurrence and progression of the disease.

Рак предстательной железы (РПЖ) занимает 2-е место в структуре онкологической заболеваемости в мире у мужчин. Наиболее часто РПЖ метастазирует в лимфатические узлы и кости. Тестикулярный метастаз в большинстве случаев обнаруживается случайно при хирургической кастрации.

В настоящей статье представлен первый в отечественной литературе клинический случай симптомного метастаза РПЖ в яичко с поражением контралатерального придатка яичка у пациента 62 лет. Пациенту была выполнена орхофуникулэктомия справа и орхэктомия слева. Гистологическое заключение показало макрометастаз РПЖ в правое яичко и левый придаток яичка. Метастатическое поражение яичек и придатков яичек при РПЖ нетипично. В случае прогрессирования после радикального лечения распространенного процесса необходимо помнить о возможности тестикулярного метастазирования РПЖ. Динамическое наблюдение за пациентом с РПЖ должно включать обязательный осмотр органов мошонки.

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