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A Case of Prostate Cancer Recurrence Presenting With Lung Cancer-Like Computed Tomography Findings
Yasuhito Sekimoto1, Shigehiro Watanabe2, Takayuki Kinoshita3
1Department of Respiratory Medicine Chigasaki Tokushukai Hospital Chigasaki Kanagawa Japan.
Respirology Case Reports
|April 27, 2026
Summary
Prostate cancer recurrence can manifest as a solitary lung nodule. Active bronchoscopy is crucial for diagnosing such cases, especially after prior cancer surgery.
Area of Science:
- Oncology
- Pulmonology
- Diagnostic Procedures
Background:
- Prostate cancer is a common malignancy in men.
- Surgical intervention is a primary treatment modality for localized prostate cancer.
- Metastatic recurrence can occur years after initial treatment.
Purpose of the Study:
- To report a case of solitary lung nodule as a manifestation of prostate cancer recurrence.
- To emphasize the diagnostic utility of active bronchoscopy in identifying metastatic disease.
- To highlight the importance of considering extraglandular recurrence in patients with a history of prostate cancer.
Main Methods:
- Case report of a 58-year-old male patient.
- Review of patient's medical history including prior prostate cancer surgery.
- Diagnostic workup including imaging (solitary lung nodule) and bronchoscopy.
- Histopathological confirmation of metastatic prostate cancer.
Main Results:
- A solitary pulmonary nodule was identified in the right lung.
- Bronchoscopy revealed metastatic prostate cancer.
- The patient had a history of prostate cancer surgery two years prior.
Conclusions:
- Solitary pulmonary nodules can represent prostate cancer recurrence.
- Active bronchoscopy is an effective diagnostic tool for pulmonary metastases.
- Vigilance for recurrence is essential in patients with a history of prostate cancer, even with isolated findings.
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