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Ectopic production of prostate specific antigen by a breast tumor metastatic to the ovary

✍ Scribed by H. Yu; Dr. E. P. Diamandis; M. Levesque; P. Sismondi; P. Zola; D. Katsaros


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
266 KB
Volume
8
Category
Article
ISSN
0887-8013

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✦ Synopsis


We have recently reported that about 30% of breast tumors produce prostate specific antigen (PSA). We examined here, 99 primary ovarian cancer tumors and found relatively low levels of PSA in only three tumors. One patient with metastatic ovarian cancer from a primary breast tumor, produced relatively high levels of PSA and responded well to antiestrogen treatment although she was steroid receptor-negative. Another patient with metastatic ovarian cancer from a primary breast tumor did not produce PSA and did not respond to treatment although she was steroid hormone receptor-positive. This data describe for the first time, ectopic PSA production by a breast tumor at the ovarian metastatic site and further support the view that PSA is a favourable prognostic indicator in breast cancer. o 1994 Wiley-Liss, Inc.


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## Background: Although < 1% of men present with prostate-specific antigen (psa)-negative prostate carcinoma, in that they have serum psa levels much lower than the tumor burden would suggest, such patients represent a management dilemma. to the authors' knowledge, little information exists in the