Abstract
Objectives: PSA is regarded as the best method in the follow-up ofprostate carcinoma. After radical vesiculo-prostatectomy the prostatecarcinoma seldom recurs at zero or nearly zero PSA levels. Methods:The authors have used PSA since 1989 and they have found only one casewhere metastasis in the tibia came without an increase in PSA levels. Results: Tibia metastasis showed lower tissue activity of PSA than did theprimary tumor in the prostate. The authors think this explains the zero PSAlevel when the metastasis developed. Conclusions: The authors thinkbased on their case that PSA free progression prostate cacncers may caseswhere the metastases do not produce PSA.
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Partin AW, Pound CR, Clemens JQ, Epstein JI, Walsh PC. Serum PSA in anatomic radical prostatectomy: the Johns Hopkins experience after 10 years. Urol Clin North Am 1993; 20: 713–725.
Aihara M, Lebovitz RM, Wheeler TM, Kinner BM, Ohori M, Scardino PT. Prostate specific antigen and Gleason grade: an immunohistocemical study of prostate cancer. J Urol 1994; 151: 1558–1564.
Goldrath DE, Messing EM. Prostate specific antigen not detectable despite tumor progression after radical prostatectomy. J Urol 1989; 142: 1082–1084.
Hudson MA, Bahnson RB, Catalona WJ. Clinical use of prostate specific antigen in patients with prostate cancer. J Urol 1989; 142: 1011–1017.
Leibmann BD, Özdal D, Wheeler TM, Scardino PT. Distant metastasis after radical prostatectomy in patients without an elevated serum prostate antigen level. Cancer 1995; 76: 2530–2534.
Takayama TK, Krieger JN, True LD, Lange PH. Recurrent prostate cancer despite undetectable prostate specific antigen. J Urol 1992; 148: 1541–1542.
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Hübler, J., Sükösd, F. & Czipri, M. Tibia metastasis without Prostate Specific Antigen (PSA) increase following radical vesiculo-prostatectomy. Int Urol Nephrol 32, 281–284 (2000). https://doi.org/10.1023/A:1007142910479
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DOI: https://doi.org/10.1023/A:1007142910479