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Case Reports in Oncological Medicine
Volume 2013, Article ID 790790, 3 pages
http://dx.doi.org/10.1155/2013/790790
Case Report

Prostatic Carcinosarcoma with Lung Metastases

1Nova Southeastern University College of Osteopathic Medicine, 3301 College Avenue, Fort Lauderdale, FL 33314, USA
2Calaway Young Cancer Center, Valley View Hospital, 1906 Blake Avenue, Glenwood Springs, CO 81601, USA

Received 27 August 2013; Accepted 1 October 2013

Academic Editors: B. I. Razzouk, M. Romkes, and N. Yoshimura

Copyright © 2013 Stefanie R. Furlan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Carcinosarcoma of the prostate is an uncommon malignancy with poor long-term prognosis. The cancer is typically discovered at an advanced stage, and with less than 100 reported cases, there is limited literature concerning treatment options. Our patient presented with a history of benign prostatic hypertrophy, erectile dysfunction, and nocturia. Biopsy of his prostate indicated that the patient had prostatic adenocarcinoma, but histopathology after prostatectomy revealed carcinosarcoma. It has been over six years since this patient’s diagnosis of carcinosarcoma. Over this span of time, he has received a radical prostatectomy, radiotherapy, and androgen ablative therapy. The patient also developed multiple lung metastases that have been treated with video-assisted thoracic surgery and stereotactic body radiosurgery. Overall, he has remained unimpaired and in good condition despite his aggressive form of cancer.