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Prostate carcinoma metastatic to the skin as an extrammamary Paget’s disease 英文参考文献
Petcuetal.DiagnosticPathology2012,7:106
/content/7/1/106
CASE REPORT
OpenAccess
Prostatecarcinomametastatictotheskinasan
extrammamaryPaget’ sdisease
EugenBogdanPetcu1,5*,AldoGonzalez-Serva2,RobertGWright3,MarkSlevin4andKlaraBrinzaniuc5
Abstract
Aim:Thecurrentpaperdescribesacaseofprostaticadenocarcinomametastatictotheskinpresentingasan
extrammamaryPagetsdisease,averyrareandpoorlycharacterisedmorphologicalentity.Wereportacaseof
prostaticcarcinomametastatictoskinshowingapatternofextramammaryPagetsdiseasewhichhasnotbeen
clearlyillustratedintheliteratureCasepresentation:A63year-oldmanwithprostaticadenocarcinomadeveloped
cutaneousmetastasesafter16years.Theinguinalmetastasesweresessileandkeratotic.Thetumourdisplayed
solid,glandularareasaswellasapolypoidregionsuggestiveofextramammaryPagetsdiseasewereidentified.
Discussionandconclusions:Wereviewthediagnosticcriteriathathaveledtothecorrecthistopathological
diagnosisinthiscase.Adifferentialdiagnosisofthepagetoidspreadintheskinandvariousformsofcutaneous
metastasesdeterminedbyaprostaticadenocarcinomaaswellastheroleofimmunohistochemistryinestablishing
theprostaticoriginarepresentedinthecontextofthiscase.Although,morphologicallythecellspresentedinthe
skindepositswerenotcharacteristicforadenocarcinomaofprostate,immunohistochemistryforPSAandPSAP
suggestedaprostaticorigin.
VirtualSlides:Thevirtualslide(s)forthisarticlecanbefoundhere:http://www.diagnosticpathology.diagnomx.eu/
vs/1395450057455276
Introduction
with various origins. In these cases, immunohistoche-
Prostate adenocarcinoma is one of the most common mistry is an invaluable tool, the most commonly used
cancers in Australia. The Melbourne Collaborative Co- markers being prostate-specific antigen (PSA) and pros-
hortStudyrevealedthat8.4%ofthesubjectsenrolledin tate acid phosphatase (PSAP) [3]. Skin metastasis deter-
the study developed over 15 years prostatic adenocar- minedbyaprostateadenocarcinomamaydisplayavariety
cinoma and more than 10% of these patients died [1]
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