id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
aiua-8497	Ismail, Asmaa; Elmansy, Hazem; Shahrour, Walid; Prowse, Owen; Kotb, Ahmed	Solitary prostatic cancer metastasis to the testis: A case report and lessons to learn	2020	2	.pdf	application/pdf	1262	85	60	This case may impact clinical practice in several ways: 1) considering Pca always in the differential diagnosis of any disease of an adult man, regardless of its presentation because we did not do that at initial patient evaluation and PSA was only measured after orchiectomy when pathology demonstrated metastatic Pca; 2) suggesting standard orchiectomy with epi- didemectomy for surgical castration instead of the current sur- gical technique of subcapsular/subepididymal orchiectomy, because our patient had cancer involving his epididymis as well; 3) suggesting to include PSMA as a part of preoperative staging for high risk Pca patients, in consideration that PSMA is proving to be a promising new imaging technique that can help diagnosing metastatic Pca in unusual locations. Mittal et al. (2) described a patient that had bilateral orchiectomy for hormonal control of metastatic Pca where histology demonstrated metastatic Pca of the testis and epididymis.	cache/aiua-8497.pdf	txt/aiua-8497.txt