PMC4310052_01
Chest X-ray on admission shows multiple nodules.
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The admission chest X-ray showed multiple nodules (Fig. 1), and chest computed tomography (CT) showed metastatic lung tumors (Fig. 2).
(a) Prostate biopsy specimen. (b) CT-guided biopsy specimen of a lung tumor.
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A diagnosis of prostate carcinoma with Gleason pattern 4 was made by prostate biopsy (Fig. 3a), which yielded the same findings as the lung tumor (Fig. 3b).
The chest X-ray and CT findings 6 months after hormonal therapy. The PSA level was
0.521 ng/mL.
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The chest X-ray and CT findings improved (Fig. 4), and the PSA level decreased to the normal range with hormonal therapy.
One year after diagnosis, the tumors were refractory to therapy. The PSA level was
0.259 ng/mL.
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However, 1 year after diagnosis, the tumors were refractory to therapy (Fig. 5).