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前列腺癌患者、即使有骨播散的倾向,也极少出现高钙血症。这类患者出现高钙血症,一般表示肿瘤已有广泛骨转移或短期内可致命。文献记载的13例伴有高钙血症的前列腺癌患者中,10例为晚期患者,并有广泛的骨转移。这些患者自发现血清钙水平升高后,其平均存活期只有3.9月(范围为1～14月)。13例患者中只有3例其存活期超过1年。凡存活期超过1年者均为接受睾凡切除治疗之患者。本文报道1例复发性前列腺腺癌体高钙血症患者进行双侧睾丸切除术后获得成功,其存活期超过一年半。
In patients with prostate cancer, hypercalcaemia rarely occurs even when there is a tendency for bone to spread. Hypercalcemia in these patients generally indicates that the tumor has had extensive bone metastases or is fatal in the short term. Of the 13 cases of prostate cancer patients with hypercalcemia documented in the literature, 10 were advanced patients and had extensive bone metastases. These patients had an average survival of only 3.9 months (range, 1 to 14 months) after the serum calcium level was found to increase. Only 3 out of 13 patients survived longer than 1 year. All patients who survived more than 1 year were treated with testicular resection. This article reports a case of recurrent prostate gland hypercalcemia in patients with successful bilateral resection, the survival period of more than a year and a half.