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[Massive lymphatic involvement secondary to prostatic adenocarcinoma]
E de Diego Rodríguez1, J I del Valle Schaan, J L Gutiérrez Baños
1Servicio de Urología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria.
Abstract:
Prostatic carcinoma may be diagnosed by the clinic manifestations or by the symptoms for locoregional disemination and distance metastasis. The lymphatic system is the first metastatic station, which is affected in a high percentage of cases. Event it may simulate lymphoproliferatives process and it si uncommon the lymphatic macroaffectation at first. In theses cases, the histologic and immunohistochemical study by the determination of prostatic specific antigen in lymph nodes can provice the diagnosis. Treatment of these tumors is palliative with hormonotherapy. Prognosis is bad with a low survival at five years.