前列腺癌伴胸膜转移1例
Prostate Cancer with Pleural Metastasis: A Case Report
DOI: 10.12677/jcpm.2026.54239, PDF,   
作者: 宋金瑶：济宁医学院临床医学院，山东 济宁；王全义*：济宁医学院附属医院病理科，山东 济宁
关键词: 前列腺癌；胸膜结节；胸腔积液；转移 ；Prostate Cancer； Pleural Nodule； Pleural Effusion； Metastasis
摘要: 前列腺癌伴胸膜转移是极为少见的，且整体预后较差，做到早发现早治疗尤为重要。本文报道1例因发现胸腔积液入院的61岁男性患者，入院检查提示血清总前列腺特异性抗原显著升高，影像学检查发现胸膜结节性病变，经胸膜活检及免疫组织化学检测提示前列腺来源，最终结合前列腺MRI确诊前列腺癌伴胸膜转移、恶性胸腔积液。后续患者接受内分泌治疗联合化疗，目前病情稳定。
Abstract: Pleural metastasis from prostate cancer is extremely rare and is associated with a poor overall prognosis, therefore, early detection and treatment are of paramount importance. This case report describes a 61-year-old male who presented with pleural effusion. Laboratory tests revealed markedly elevated serum total prostate-specific antigen. Imaging demonstrated nodular pleural lesions. Pleural biopsy with immunohistochemical staining confirmed prostatic origin, and subsequent prostate MRI established the diagnosis of metastatic prostate cancer with pleural involvement and malignant pleural effusion. The patient was treated with combined endocrine therapy and chemotherapy, and currently remains in stable condition.
文章引用：宋金瑶, 王全义. 前列腺癌伴胸膜转移1例[J]. 临床个性化医学, 2026, 5(4): 190-194. https://doi.org/10.12677/jcpm.2026.54239

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