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Two prostatic and gastric adenocarcinoma cases with distant lymph node metastasis

Year 2009, Volume: 24 Issue: 1, 31 - 35, 01.02.2009

Mutlu Doğan Abdullah Büyükçelik Serpil Dizbay Sak Arzu Ensari Dilek Dinçol

Abstract

Cancer patients with unknown primary site may have different presentations. Hematogenous lymph node metastasis probability should be also considered when evaluating patients with right supradiaphragmatic lymph node metastasis. A 68-yearold male with prostatic carcinoma and a 60-year-old male with gastric carcinoma are presented here. The prostate specific antigen (PSA) levels and free/total PSA ratio should be measured in male cancer patients with unknown primary site, as we did in our first patient and immunohistochemical PSA staining in the metastatic lymph node, if necessary. Skin metastasis may occur with lymphatic spread after hematogenous lymph node metastasis, and these lesions might also be used as follow-up criteria for response to the treatment.

Keywords

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References

  • 1. Wang HJ, Chiang PH, Peng JP, Yu TJ. Presentation of prostate carcinoma with cervical lymphadenopathy: report of three cases. Chang Gung Med J 2004;27(11):840-4.
  • 2. Greco FA, Hainsworth JD. Poorly differentiated carcinoma (with or without features of adenocarcinoma) of unknown primary site. Adenocarcinoma of unknown primary site. In: DeVita VT, Hellman S, Rosenberg SA, editors. Cancer Principles & Practice of Oncology: Cancer of Unknown Primary Site. 7th ed. Philedelphia: Lipincott Williams & Wilkins; 2005. p. 2216-22.
  • 3. Kobayashi O, Sugiyama Y, Konishi K, Kanari M, Cho H, Tsuburaya A, et al. Solitary metastasis to the left axillary lymph node after curative gastrectomy in gastric cancer. Gastric Cancer 2002;5(3):173-6.
  • 4. Lookingbill DP, Spangler N, Sexton FM. Skin involvement as the presenting sign of internal carcinoma. A retrospective study of 7316 cancer patients. J Am Acad Dermatol 1990;22(1):19-26.
  • 5. Koo DH, Chang HM, Jung JY, Song JH, Lee JL, Ryu MH, et al. Cutaneous metastasis resembling acute dermatitis in patient with advanced gastric cancer. Clin Exp Dermatol 2007;32(3):284-6.
  • 6. Lee SE, Jeon EJ, Oh JH, Shim KH, Lee J, Kim EH, et al. A case of advanced gastric cancer with perianal skin metastasis. Korean J Gastroenterol 2008;51(1):40-4.
  • 7. Yamamura Y, Kodera Y, Kito T. Gastric cancer with carcinoma erysipeloides caused by spontaneous thoracic duct rupture: report of a case. Surg Today 1997;27(2):166-8.

Uzak lenf nodu metastazı ile başvuran iki prostat ve mide adenokarsinom olgusu

Year 2009, Volume: 24 Issue: 1, 31 - 35, 01.02.2009

Mutlu Doğan Abdullah Büyükçelik Serpil Dizbay Sak Arzu Ensari Dilek Dinçol

Abstract

Primeri bilinmeyen kanserli olgular atipik klinik prezentasyon ile başvurabilirler. Sağ supradiyafragmatik lenf nodu (LN) metastazı ile başvuran hastada bunun hematojen LN metastazı olabileceği de düşünülmelidir. Hematojen LN metastazı ile prezente olan 68 yaşında prostat kanserli ve 60 yaşında mide kanserli iki olgu sunuldu. İlk olguda olduğu gibi primeri bilinmeyen kanserli erkek hastalarda prostat spesifik antijen (PSA) düzeyine ve serbest/total PSA oranlarına mutlaka bakılmalı, gerekirse metastatik LN'da immünohistokimyasal PSA boyaması yapılmalıdır. Yine, diğer olgudaki gibi hematojen LN metastazı sonrası lenfatikler aracılığıyla cilt metastazı gelişebilir; bu lezyonlar tedavi yanıtını değerlendirirken takip kriteri olarak kullanılabilir.

Keywords

Cilt metastazı hematojen lenf nodu metastazı mide kanseri prostat kanseri sağ supradiyafragmatik lenf nodu metastazı

References

  • 1. Wang HJ, Chiang PH, Peng JP, Yu TJ. Presentation of prostate carcinoma with cervical lymphadenopathy: report of three cases. Chang Gung Med J 2004;27(11):840-4.
  • 2. Greco FA, Hainsworth JD. Poorly differentiated carcinoma (with or without features of adenocarcinoma) of unknown primary site. Adenocarcinoma of unknown primary site. In: DeVita VT, Hellman S, Rosenberg SA, editors. Cancer Principles & Practice of Oncology: Cancer of Unknown Primary Site. 7th ed. Philedelphia: Lipincott Williams & Wilkins; 2005. p. 2216-22.
  • 3. Kobayashi O, Sugiyama Y, Konishi K, Kanari M, Cho H, Tsuburaya A, et al. Solitary metastasis to the left axillary lymph node after curative gastrectomy in gastric cancer. Gastric Cancer 2002;5(3):173-6.
  • 4. Lookingbill DP, Spangler N, Sexton FM. Skin involvement as the presenting sign of internal carcinoma. A retrospective study of 7316 cancer patients. J Am Acad Dermatol 1990;22(1):19-26.
  • 5. Koo DH, Chang HM, Jung JY, Song JH, Lee JL, Ryu MH, et al. Cutaneous metastasis resembling acute dermatitis in patient with advanced gastric cancer. Clin Exp Dermatol 2007;32(3):284-6.
  • 6. Lee SE, Jeon EJ, Oh JH, Shim KH, Lee J, Kim EH, et al. A case of advanced gastric cancer with perianal skin metastasis. Korean J Gastroenterol 2008;51(1):40-4.
  • 7. Yamamura Y, Kodera Y, Kito T. Gastric cancer with carcinoma erysipeloides caused by spontaneous thoracic duct rupture: report of a case. Surg Today 1997;27(2):166-8.
There are 7 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Mutlu Doğan This is me

Abdullah Büyükçelik This is me

Serpil Dizbay Sak This is me

Arzu Ensari This is me

Dilek Dinçol This is me

Publication Date February 1, 2009
Published in Issue Year 2009 Volume: 24 Issue: 1

Cite

APA Doğan, M., Büyükçelik, A., Sak, S. D., Ensari, A., et al. (2009). Uzak lenf nodu metastazı ile başvuran iki prostat ve mide adenokarsinom olgusu. Türk Onkoloji Dergisi, 24(1), 31-35.
AMA Doğan M, Büyükçelik A, Sak SD, Ensari A, Dinçol D. Uzak lenf nodu metastazı ile başvuran iki prostat ve mide adenokarsinom olgusu. Türk Onkoloji Dergisi. February 2009;24(1):31-35.
Chicago Doğan, Mutlu, Abdullah Büyükçelik, Serpil Dizbay Sak, Arzu Ensari, and Dilek Dinçol. “Uzak Lenf Nodu Metastazı Ile başvuran Iki Prostat Ve Mide Adenokarsinom Olgusu”. Türk Onkoloji Dergisi 24, no. 1 (February 2009): 31-35.
EndNote Doğan M, Büyükçelik A, Sak SD, Ensari A, Dinçol D (February 1, 2009) Uzak lenf nodu metastazı ile başvuran iki prostat ve mide adenokarsinom olgusu. Türk Onkoloji Dergisi 24 1 31–35.
IEEE M. Doğan, A. Büyükçelik, S. D. Sak, A. Ensari, and D. Dinçol, “Uzak lenf nodu metastazı ile başvuran iki prostat ve mide adenokarsinom olgusu”, Türk Onkoloji Dergisi, vol. 24, no. 1, pp. 31–35, 2009.
ISNAD Doğan, Mutlu et al. “Uzak Lenf Nodu Metastazı Ile başvuran Iki Prostat Ve Mide Adenokarsinom Olgusu”. Türk Onkoloji Dergisi 24/1 (February 2009), 31-35.
JAMA Doğan M, Büyükçelik A, Sak SD, Ensari A, Dinçol D. Uzak lenf nodu metastazı ile başvuran iki prostat ve mide adenokarsinom olgusu. Türk Onkoloji Dergisi. 2009;24:31–35.
MLA Doğan, Mutlu et al. “Uzak Lenf Nodu Metastazı Ile başvuran Iki Prostat Ve Mide Adenokarsinom Olgusu”. Türk Onkoloji Dergisi, vol. 24, no. 1, 2009, pp. 31-35.
Vancouver Doğan M, Büyükçelik A, Sak SD, Ensari A, Dinçol D. Uzak lenf nodu metastazı ile başvuran iki prostat ve mide adenokarsinom olgusu. Türk Onkoloji Dergisi. 2009;24(1):31-5.