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Chirurgia 2005 February;18(1):29-34

language: Italian

Extensive brain metastases revealing distant spreading of prostatic cancer

Russo A.


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Prostatic adenocarcinoma is the second type of cancer, after lung malignancy, in males in the USA, showing an incidence of 69/100 000 individuals/year and a prevalence of 179 300 new cases/year, preferably affecting the age ranging from 70 to 75 years. More than 75% of diagnoses is achieved during the clinical stage, or in the presence of urinary discomfort, such as dysuria, hematuria and acute urinary retention. Though the first target of distant spreading are osteoblastic lesions to the skeleton, whose pain symptomatology seems to be the sign of terminal stage of the disease (D stage), in a considerable amount of patients brain metastases may occur. The aim of this clinical report is to describe the symptoms and signs of a patient with prostatic cancer, hospitalized for acute hemiplegia mimicking a stroke, caused by a voluminous cerebral metastasis, with no other areas involved.

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