Debut de adenocarcinoma de próstata en adenopatía cervical metastásica: reporte de caso clínico / Debut of prostate adenocarcinoma in metastasic cervical adenopathy: clinical case report

INTRODUCTION: Prostatic carcinoma is a tumor that occurs mainly in men older than 50 years. More than 95% correspond to adenocarcinomas and their degree of tumor differentiation is related to metastasis and death. Becausemetastasis to cervical lymphatics is infrequent and with worse survival, a clinical case will be presented. Clinical case: A 62-year-old man, in whom late prostate cancer was later, investigated after multiple imaging studies, biopsies and immunohistochemistry. Discussion: The diagnosis of prostatic carcinoma can be precociously investigated by a simple Rectal Touch coupled with specific Prostate Antigen (PSA), performed in primary care, especially in men with ages close to the fifth decade of life.

Exame de detecção precoce do câncer de próstata na terceira idade conhecendo os motivos que levam ou não a sua realização / The early detection testing of prostate cancer in elderly subjects: knowing the reasons for taking or not this exam

Entre todos os tipos de câncer, o da próstata é considerado o da terceira idade, pois, perto de 75 por cento dos casos, ocorrem após os 65 anos de idade. A detecção precoce dos estágios iniciais desta neoplasia pode reduzir taxas de morbidade e mortalidade. Para este estudo qualitativo, utilizou-se o referencial da Fenomenologia Social de Alfred Schütz, com 19 sujeitos que constituíam uma amostra representativa de idosos do Distrito de Ermelino Matarazzo na Cidade de São Paulo. O objetivo foi compreender os motivos que levam ou não a realizarem os exames de toque retal e PSA para detecção precoce do câncer de próstata e compreender o típico de sua vivência nas ações que envolvem a realização desses exames. Os resultados mostraram que há dificuldade na adesão do exame de PSA e principalmente do exame de toque retal; a orientação da população idosa em relação ao câncer de próstata e seu exame preventivo são de suma importância. A existência de sujeitos que nunca realizaram os exames de PSA e ou toque retal aponta para a necessidade contínua de ações educativas sobre o câncer de próstata e seus exames de detecção precoce, focando, principalmente, a terceira idade

Among all types of cancer, prostate cancer is considered a cancer of the elderly, because approximately 75per cent of the cases occur in people above 65 years of age. Early detection at the early stages of this cancer can reduce rates of morbidity and mortality. For this qualitative study the Alfred Schützs Social Phenomenology referential was used, with 19 subjects who constituted a representative sample of elderly people in the Ermelino Matarazzo District of the city of São Paulo. The objective was to understand what leads to do or not do the rectal touch examination and PSA for early detection of prostate cancer and understand the typical in their experience with carrying out such tests. The results showed that there is difficulty in adhering to the PSA examination and especially the rectal touch examination; the orientation of the elderly population in regard to prostate cancer and its preventive examination are of paramount importance. The existence of subjects who never underwent the PSA and or rectal touch tests points to the continuing need for conducting educational activities on prostate cancer and examinations for early detection, with a main focus on elderly people