Key result
Orchiectomy resulted in marked pulmonary improvement and unusually prolonged survival in a patient with prostate adenocarcinoma and lymphangitic lung metastases.
Orchiectomy may lead to marked symptomatic improvement and prolonged survival in patients with prostate adenocarcinoma and lymphangitic lung metastases.
Should not change practice for prostate cancer with lymphangitic metastases; leaves open potential benefit in rare cases.
A 60-year-old man had documented adenocarcinoma of the prostate and lymphangitic metastases to the lung. After orchiectomy there was marked improvement documented by serial pulmonary function studies and chest X rays. The patient's relatively asymptomatic state and prolonged survival differ markedly from the clinical course previously described in this disease.
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Marvin I. Schwarz (1969) studied this question. Orchiectomy resulted in marked pulmonary improvement and unusually prolonged survival in a patient with prostate adenocarcinoma and lymphangitic lung metastases.
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