Samenvatting
Background: Prostate cancer is the most common male malignancy in Nigeria and most patients present with advanced and metastatic disease. Cutaneous metastasis from prostate cancer is rare worldwide and to our knowledge has not been previously reported in a native African. We hereby report a case in a 62 year old Nigerian.
Case presentation and management: A 62yr old Nigeria man presented with 6 months history of lower urinary tract symptoms that culminated in urinary retention for which he was catheterized. He noticed multiple painless skin nodules about the same time on the neck and trunk. On examination, he had multiple cutaneous nodules on his neck, limbs and trunk. His prostate gland was enlarged, hard and irregular. Prostate biopsy revealed adenocarcinoma of the prostate. He had bilateral orchidectomy with progressive regression of the skin nodules. He had successful trial of voiding without a catheter 3 weeks after bilateral total orchidectomy.
Conclusion: Cutaneous metastasis from prostate cancer is rare in native Africans despite the high incidence of the disease in this population. To our knowledge, this index case is the first report in a native African in the English literature.
Keywords: - Cutaneous metastasis, prostate cancer, Nigerian
Résumé
Contexte: le cancer de la prostate est le plus commun mâle maligne au Nigéria et la plupart des patients présents avec advanced et maladie métastatique. Cutaneous métastase du cancer de la prostate est rare dans le monde et à notre connaissance, n’a pas été précédemment signalés dans une Afrique native. Par la présente, nous souhaitons signaler un cas de 62 ans Nigériane.
Présentation de cas et de la gestion: A 62ans homme nigérian présenté avec 6 mois l’histoire des voies urinaires inférieures les symptômes qui ont abouti en rétention urinaire pour laquelle il a été sondé. Il a remarqué que plusieurs indolore nodules cutanés environ le même temps sur le cou et le tronc. Après examen, il avait plusieurs nodules cutanés sur son cou, membres et le tronc. Sa prostate a été élargie, dur et irrégulier. BIOPSIES de la Prostate révélé adénocarcinome de la prostate. Il avait orchidectomy bilatéraux avec régression progressive des nodules cutanés. Il avait réussi son procès de mictions sans un cathéter 3 semaines après bilatérale totale orchidectomy.
Conclusion: La forme cutanée les métastases du cancer de la prostate est rare chez les autochtones africains malgré la forte incidence de la maladie dans cette population. À notre connaissance, ce cas index est le premier rapport d’un Africain natif dans la littérature anglaise.
Correspondence: Prof. O.B. Shittu, Department of Surgery, University College Hopital, PMB 1313, Ibadan, Nigeria. Email: obshittu@yahoo.com
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