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|a 10.14989/ActaUrolJap_63_10_431
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|a Iwanishi, Toshichika
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|a A Case of Castration-Resistant Prostate Cancer with Fatal Convulsive Seizure after Administration of Enzalutamide
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|c 2017
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|a Text
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|a ƒaComputermedien
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|a ƒa Online-Ressource
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|a Date Completed 24.01.2018
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|a Date Revised 04.12.2021
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|a published: Print
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|a Citation Status MEDLINE
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|a Enzalutamide, an androgen receptor antagonist, is a standard drug for the treatment of castrationresistant prostate cancer. A 77-year-old man developed a seizure after administration of enzalutamide. The patient presented with general fatigue and high fever approximately 5 weeks after oral administration of enzalutamide. Several days later, a seizure attack occurred at home, resulting in cardiopulmonary arrest. The patient was taken to the hospital emergency room but could not be resuscitated. We described a 63-year-old man who was diagnosed with clinical T1c prostate cancer, with a Gleason score of 6 (3+3), and a preoperative prostate-specific antigen (PSA) level of 5. 27 ng/ml. Radical prostatectomy(RP) was performed and final pathologyshowed Gleason score 3+4, pT2c with negative surgical margin. In spite of suggested surgical radicality, PSA was 3.32, 4.78, 5.93 ng/ml, at 1, 2, and 3 months after RP, respectively. However, radiological investigation revealed no metastasis. Because of this clinical discrepancy, we checked the PSA-α1-antichemotrypsin level and found it to be ≦0.1 ng/ml. From these results, false PSA elevation caused byinterference of positive heterophilic antibodies was suggested and demonstrated byseveral immunoassays
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|a Case Reports
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|a Journal Article
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|a Review
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|a Prostate cancer
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|a Seizure
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|a Benzamides
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|a Nitriles
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|a Phenylthiohydantoin
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|a Yumiba, Satoru
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|a Koida, Youhei
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|a Kobayashi, Masao
|e verfasserin
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|a Komori, Kazuhiko
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|a Ono, Yutaka
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|i Enthalten in
|t Hinyokika kiyo. Acta urologica Japonica
|d 1962
|g 63(2017), 10 vom: 05. Okt., Seite 431-433
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|g volume:63
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|g month:10
|g pages:431-433
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