UNUSUAL, UNILATERAL METASTASIS OF A PROST ATE-CARCINOMA AND PALLIATIVE RE-186 PAIN-THERAPY

A 82-year old male patient had developed a suffering from an unusual u nilateral growing bone metastases of a prostate-carcinoma D2 (Histolog ical diagnosis: indifferent, partly cribiform growing prostate-carcino ma, T3N x M1, G3; first diagnosis 7/1988), which suggests a sufferring from M. Paget. In October 1988, the patient underwent a subcapsular o rchiectomy, followed by androgene therapy with fugurel. Due to ongoing osseous metastases, in November/December 1992 a radiotherapy of the r ight hip (50 Gy) was performed. Beginning from October 1994, severe pr ogression of bone metastases was observed with distinct pain-symptoms, leading to an increasing use of analgetics.