Neuroendocrine cancer of the prostate. Two case reports

Background: Neuroendocrine cancer of the prostate can present in diverse clinical pictures, potentially hampering the diagnosis and probably leading to underdiagnosis. Methods: Two cases are presented corresponding respectively to two forms of the disease: de novo neuroendocrine cancer and dediffere...

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Main Authors: Tamás Kullmann, Szigeti András, Kránitz Noémi, Szepesváry Zsolt
Format: Article
Language:English
Published: MRE Press 2022-03-01
Series:Journal of Men's Health
Subjects:
Online Access:https://www.imrpress.com/journal/JOMH/18/3/10.31083/j.jomh1803065
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author Tamás Kullmann
Szigeti András
Kránitz Noémi
Szepesváry Zsolt
author_facet Tamás Kullmann
Szigeti András
Kránitz Noémi
Szepesváry Zsolt
author_sort Tamás Kullmann
collection DOAJ
description Background: Neuroendocrine cancer of the prostate can present in diverse clinical pictures, potentially hampering the diagnosis and probably leading to underdiagnosis. Methods: Two cases are presented corresponding respectively to two forms of the disease: de novo neuroendocrine cancer and dedifferenciation of an adenocarcinoma of the prostate to neuroendocrine cancer under long term luteinising hormone releasing hormone (LHRH) agonist treatment. Results: Suspicion of neuroendocrine cancer may be raised in prostate cancer patients presenting either clinical or radiological metastatic progression without prostate specific antigen (PSA) rise, or relatively extended metastatic disease right at diagnosis associated to relatively low PSA, yet any non-pulmonary visceral metastases. Neuroendocrine cancer of the prostate can also turn out to be the origin of an adenocarcinoma of unknown primary. Conclusion: In case these considerations are respected the risk of missing the correct diagnosis of a neuroendocrine cancer of the prostate may be minimised.
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spelling doaj.art-d1dcda8904234f30a658d747657eb7662024-02-03T14:44:29ZengMRE PressJournal of Men's Health1875-68592022-03-0118306510.31083/j.jomh1803065S1875-6867(22)00297-4Neuroendocrine cancer of the prostate. Two case reportsTamás Kullmann0Szigeti András1Kránitz Noémi2Szepesváry Zsolt3Department of Oncoradiology, Petz Aladár Hospital, 9024 Győr, HungaryDepartment of Oncoradiology, Petz Aladár Hospital, 9024 Győr, HungaryDepartment of Pathology, Petz Aladár Hospital, 9024 Győr, HungaryDepartment of Urology, Petz Aladár Hospital, 9024 Győr, HungaryBackground: Neuroendocrine cancer of the prostate can present in diverse clinical pictures, potentially hampering the diagnosis and probably leading to underdiagnosis. Methods: Two cases are presented corresponding respectively to two forms of the disease: de novo neuroendocrine cancer and dedifferenciation of an adenocarcinoma of the prostate to neuroendocrine cancer under long term luteinising hormone releasing hormone (LHRH) agonist treatment. Results: Suspicion of neuroendocrine cancer may be raised in prostate cancer patients presenting either clinical or radiological metastatic progression without prostate specific antigen (PSA) rise, or relatively extended metastatic disease right at diagnosis associated to relatively low PSA, yet any non-pulmonary visceral metastases. Neuroendocrine cancer of the prostate can also turn out to be the origin of an adenocarcinoma of unknown primary. Conclusion: In case these considerations are respected the risk of missing the correct diagnosis of a neuroendocrine cancer of the prostate may be minimised.https://www.imrpress.com/journal/JOMH/18/3/10.31083/j.jomh1803065neuroendocrine cancerprostate cancerserum markersynaptophysinnse
spellingShingle Tamás Kullmann
Szigeti András
Kránitz Noémi
Szepesváry Zsolt
Neuroendocrine cancer of the prostate. Two case reports
Journal of Men's Health
neuroendocrine cancer
prostate cancer
serum marker
synaptophysin
nse
title Neuroendocrine cancer of the prostate. Two case reports
title_full Neuroendocrine cancer of the prostate. Two case reports
title_fullStr Neuroendocrine cancer of the prostate. Two case reports
title_full_unstemmed Neuroendocrine cancer of the prostate. Two case reports
title_short Neuroendocrine cancer of the prostate. Two case reports
title_sort neuroendocrine cancer of the prostate two case reports
topic neuroendocrine cancer
prostate cancer
serum marker
synaptophysin
nse
url https://www.imrpress.com/journal/JOMH/18/3/10.31083/j.jomh1803065
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AT szigetiandras neuroendocrinecanceroftheprostatetwocasereports
AT kranitznoemi neuroendocrinecanceroftheprostatetwocasereports
AT szepesvaryzsolt neuroendocrinecanceroftheprostatetwocasereports