[Bone metastasis of prostatic cancer imitating Paget's sarcoma]. / Ossäre Metastase eines Prostatakarzinoms simuliert ein Paget-Sarkom.
Dtsch Med Wochenschr
; 131(45): 2524-8, 2006 Nov 10.
Article
en De
| MEDLINE
| ID: mdl-17091439
ABSTRACT
HISTORY AND CLINICAL FINDINGS:
A 74-year-old man presented with bone pain of the right hip, night sweat and weight loss for 18 months. The diagnosis of Paget's disease was confirmed four months before admission, but pain and elevated serum alkaline phosphatase levels remained despite treatment with i.v. bisphosphonates. The physical examination showed no specific abnormalities. INVESTIGATIONS Laboratory findings were elevated levels of serum alkaline phosphatase (AP), CA 19-9 and CEA. Radiological and tomographic images showed an aggressive periostal reaction consistent with Paget's sarcoma. The bone biopsy revealed the presence of prostatic cancer which was confirmed in a subsequent prostate biopsy. TREATMENT AND COURSE Because of the multiple bone and lung metastases the disease proved to be incurable and the patient received palliative therapy with flutamide. He died 12 months later.CONCLUSION:
In patients with Paget's disease lacking of response to bisphosphonate administration (permanently increased AP and sustained pain) radiological and clinical re-assessment of the diagnosis is indicated and may sometimes also include bone biopsy.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Osteítis Deformante
/
Huesos Pélvicos
/
Neoplasias de la Próstata
/
Neoplasias Óseas
/
Adenocarcinoma
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
/
Humans
/
Male
Idioma:
De
Revista:
Dtsch Med Wochenschr
Año:
2006
Tipo del documento:
Article