{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:44:32Z","timestamp":1786977872030,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T00:00:00Z","timestamp":1681344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>We present a case of mucinous adenocarcinoma of the prostate with testicular and lung metastases following robot\u2010assisted radical prostatectomy, androgen deprivation therapy, and radiotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 73\u2010year\u2010old man with a prostate\u2010specific antigen level of 4.3\u2009ng\/mL was diagnosed with prostate cancer. Following the robot\u2010assisted radical prostatectomy, the pathological diagnosis was mucinous adenocarcinoma of the prostate (pT3bpN0, Gleason score of 4\u2009+\u20094). Salvage hormonal therapy and irradiation were performed after the prostatectomy. Enlargement of the left testis was noted, and 28\u2009months after prostatectomy, computed tomography detected a left testicular tumor and nodular lesions in the bilateral lungs. The histopathological diagnosis of left high orchiectomy was metastasis of a mucinous adenocarcinoma of the prostate. Chemotherapy with docetaxel followed by cabazitaxel was initiated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mucinous prostate adenocarcinoma with distal metastases following prostatectomy has been managed for longer than 3\u2009years with multiple treatments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/iju5.12591","type":"journal-article","created":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T07:16:53Z","timestamp":1681370213000},"page":"222-225","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Left testicular and pulmonary metastases of mucinous adenocarcinoma of the prostate after robot\u2010assisted radical prostatectomy"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9174-2194","authenticated-orcid":false,"given":"Kisumi","family":"Kato","sequence":"first","affiliation":[{"name":"Department of Urology Jichi Medical University  Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0069-7392","authenticated-orcid":false,"given":"Jun","family":"Kamei","sequence":"additional","affiliation":[{"name":"Department of Urology Jichi Medical University  Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Yanase","sequence":"additional","affiliation":[{"name":"Department of Urology Jichi Medical University  Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotaka","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Urology Jichi Medical University  Tochigi 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