Abstract

PUPO RICARDO, Arnel; ARIAS ABREU, Daniel; AYON TAMAYO, Yanicey  and  GRASS HERNANDEZ, Nersa. Presentation of a Patient with Prostate Neuroendocrine Adenocarcinoma. ccm [online]. 2017, vol.21, n.2, pp.613-619. ISSN 1560-4381.

Prostate cancer commonly affects men after age 50; the evolution is slow, with histological variety of adenocarcinoma present in approximately 95%. It is not frequent to find histological differentiations of neuroendocrine type. A 29-year-old man from Banes was presented with perineal pain and discomfort during the sexual intercourse. The patient was assisted at Urology Consultation of the Lenin Hospital in Holguín where he was treated as a prostatic inflammatory process and antimicrobial and anti-inflammatory drugs were used. Other studies were not obtained and the prostate specific antigen reported high values; rectal examination revealed changes in consistency, a prostate biopsy was suggested, revealing a neuroendocrine adenocarcinoma of the prostate. When consulting the literature, specific therapeutic protocols were not available for these cases, but generally etoposide and cisplatin were used. The evolutions was torpid and rapid the appearance of bone, hepatic, mediastinal and ascites metastases as well as respiratory distress until the patient´s death, at 19 months the diagnosis was defined.

Keywords : adenocarcinoma; neuroendocrine; prostate.

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