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Lammoza N, Hormiz M, Chiang C, Stead C, Ayhan M, Hume SC. Measurement of digoxin levels falsely affected by enzalutamide. Med J Aust 2024; 220:455-456. [PMID: 38655578 DOI: 10.5694/mja2.52289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 02/01/2024] [Indexed: 04/26/2024]
Affiliation(s)
| | - Maria Hormiz
- Austin and Repatriation Medical Centre, Melbourne, VIC
| | - Cherie Chiang
- Melbourne Health, Melbourne, VIC
- University of Melbourne, Melbourne, VIC
| | | | - Mustafa Ayhan
- Melbourne Health, Melbourne, VIC
- Colonial Foundation Healthy Ageing Centre, Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC
| | - Samuel C Hume
- Melbourne Health, Melbourne, VIC
- University of Melbourne, Melbourne, VIC
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Zhang J, Dong M, Hu X, Liu L, Li S, Li C, Yang L, Xiao Y, Pang S, Wang C. Prostatic adenocarcinoma presenting with metastases to the testis and epididymis: A case report. Oncol Lett 2015; 11:792-794. [PMID: 26870285 DOI: 10.3892/ol.2015.3920] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Accepted: 10/14/2015] [Indexed: 12/15/2022] Open
Abstract
Few cases of testicular metastases from prostate carcinoma have been reported, and asymptomatic metastases of prostate carcinoma to both the testis and epididymis are extremely rare. The current study presents the case of a 69-year-old male with testicular and epididymal metastases from prostate carcinoma. The patient was admitted to The First Hospital of Shijiazhuang with a 2-year history of lower urinary tract symptoms. Digital rectal examination revealed an enlarged multinodular prostate, and the serum prostate-specific antigen (PSA) level was >100 ng/ml. Magnetic resonance imaging showed prostate carcinoma with seminal vesicle involvement. A prostate biopsy showed prostate gland adenocarcinoma. The Gleason score was 3+3. The immunohistochemistry results were as follows: Prostatic acid phosphatase (+++), PSA (+++), P504s (+++), p63 (-) and cytokeratin 34βE12 (-), with a Ki-67 of ~5%. The patient was treated with a bilateral orchiectomy. The testicular pathology showed that the right testis and epididymis were invaded with metastatic adenocarcinoma. The left testis and epididymis were normal. The patient was treated with conventional flutamide endocrine therapy. At present the patient remains in a stable condition after 24 months of follow-up.
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Affiliation(s)
- Jin Zhang
- Department of Urology, The First Hospital of Shijiazhuang, Shijiazhuang, Hebei, P.R. China
| | - Mei Dong
- Department of Surgery, The Affiliated Hospital of Hebei Science and Technology University, Shijiazhuang, Hebei, P.R. China
| | - Xiaolei Hu
- Department of Urology, The First Hospital of Shijiazhuang, Shijiazhuang, Hebei, P.R. China
| | - Lin Liu
- Department of Urology, The First Hospital of Shijiazhuang, Shijiazhuang, Hebei, P.R. China
| | - Shen Li
- Department of Urology, The First Hospital of Shijiazhuang, Shijiazhuang, Hebei, P.R. China
| | - Chao Li
- Department of Urology, The First Hospital of Shijiazhuang, Shijiazhuang, Hebei, P.R. China
| | - Lijun Yang
- Department of Urology, The First Hospital of Shijiazhuang, Shijiazhuang, Hebei, P.R. China
| | - Yongqiang Xiao
- Department of Urology, The First Hospital of Shijiazhuang, Shijiazhuang, Hebei, P.R. China
| | - Shujian Pang
- Department of Urology, The First Hospital of Shijiazhuang, Shijiazhuang, Hebei, P.R. China
| | - Chuan Wang
- Department of Pharmacology, Hebei Medical University, Shijiazhuang, Hebei, P.R. China
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Abstract
Ageing is a fundamental biological process in all living beings. Nowadays as a result of developments in preventive and therapeutic medicine, and improvements in the quality of life, ageing of the population is one of the most important demographic issues. In the elderly, cancer is one of the predominant causes of mortality and morbidity, and its incidence increases with ageing. Sixty percent of all cases with cancer, and 70% of cancer-related deaths occur in patients aged 65 years and over. For optimal care, and treatment of elderly cancer patients a multidisciplinary approach consisting of physical, psychological, and tumor-related assessments should be pursued. Because of increased incidence of cancer caused by demographic changes in Turkey and in the world, an increase in the burden of cancer in the population is expected. In the years to come, this expectation will also lead to an increase in cancer-related health expenses.
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