Bilateral Endobronchial Metastases from Adenocarcinoma of the Prostate

Abstract

We report the case of a 72-year-old Caucasian male admitted to our hospital because of a 6-month history of hematurias and prostatic syndrome. The urological examination and blood analysis (prostatic specific antigen value, 1,950 ng/ml) and prostate biopsy evidenced the presence of an adenocarcinoma of the prostate. The chest x-ray and the computed tomography scan showed multiple bilateral nodules. A flexible bronchoscopy showed bilateral endobronchial metastases, synchronously affecting both upper lobes, with a positive immunohistochemical reaction to prostatic specific antigen and prostatic specific acid phosphatase in the bronchial biopsy.