Journal of Clinical Chemistry and Laboratory Medicine
Open Access

Alexander Otsetov

Publications

• Research Article
  Elevation of PSA Levels 9 Months after Radical Prostatectomy–A Rare Case of Testicular Metastasis, Secondary to Prostatic Adenocarcinoma
  Author(s): Alexander Otsetov, Kalin Kalchev, Natasha Takova and Alexander Hinev Alexander Otsetov, Kalin Kalchev, Natasha Takova and Alexander Hinev
  
  Prostatic adenocarcinoma (PCa) is one of the major contributors to malignancy in men worldwide and second leading cause of cancer death after lung cancer. PCa is an aggressive disease and shows a strong predilection to metastasize into the bones and pelvic lymphatic nodes. In contrast, the metastatic spreads into testicles are rare, accounting up to 4% of all prostate cancer (PCa) cases. Here we present a case from our practice of unilateral testicular metastasis, developed secondary to prostatic carcinoma and diagnosed 6 months after radical prostatectomy. A 69-year-old man presented to our outpatient department for regular follow-up 9 months after radical prostatectomy. The final pathological diagnosis demonstrated pT2b N0M0, Gleason 4+3. His preoperative PSA was 11.2 ng/ml. Preoperative imaging (CT and bone scan) was negative for distant metastases. Nine months later, he presented .. View More»
  

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