Metastatic prostate cancer involving the right testicle
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A 55-year-old male diagnosed with prostate cancer in 2010 and underwent radical prostatectomy followed by salvage radiation therapy to the prostatic fossa. He was found to have bone metastasis and since had been treated with hormonal therapy, enzalutamide, abiraterone, radium-223 and taxotere. In April 2016, the patients PSA was >1500 ng/dl. In August 2016, the patient,s was found to have bone marrow involvement with anemia and thrombocytopenia. In November 2016, the patient began complaining of scrotal pain. Physical examination demonstrated an enlarged scrotum with palpable mass and magnetic resonance imaging (MRI) scan revealed a right testicular hydrocele containing multiple enhancing nodules. At last follow-up on November 10, 2016, the patient continued to have scrotal pain and required transfusions for anemia and thrombocytopenia and is currently being treated with carboplatin and cabazitaxel....

http://www.edoriumjournals.com/journal-of-case-reports-and-images-in-oncology/archive/2017-archive/100034Z10DL2017-landau/100034Z10DL2017-landau-full-text.php
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