An 85-Year-Old Man With Dyspnea and a History of Hormone Therapy for Prostate Adenocarcinoma.

Nakashima, Koki; Tomoi, Chiaki; Kakiuchi, Toshiko; Saikawa, Shiori; Igarashi, Kazunari; Ishizuka, Tamotsu · Chest · 2025

case_report · Level V

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Abstract

An 85-year-old man had undergone hormone therapy with bicalutamide (androgen receptor antagonist) and leuprorelin (gonadotropin-releasing hormone agonist) for prostate adenocarcinoma with a Gleason score of 4 + 5 for approximately 3 years. The patient presented to the emergency department with dyspnea, respiratory failure, and loss of appetite. He also had a history of COPD with a 20-pack-year smoking history. The patient worked as a cook and had no history of occupational exposure to asbestos. Chest radiography showed a left pleural effusion , and he was admitted to our hospital for further examination of the pleural effusion.

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