Locally invasive prostate cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Poor urinary stream

Patient Data

Age: 55 years
Gender: Male
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
This study is a stack
Axial lung
window
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Info

The prostate gland is enlarged and shows heterogeneous enhancement with irregular margin; infiltrated seminal vesicles, adjacent urinary bladder wall and distal of both ureters. There are multiple enlarged lymph nodes in the vicinity of the mass as well as bilateral para-iliac regions with maximum SAD of 23 mm. 

Several mildly enlarged lymph nodes in the para-aortic regions.

Degenerative changes as osteophytosis are seen at the thoracolumbar spine.
Bilateral moderate hydroureteronephrosis. No renal or ureteral stones. A 7 mm cyst is present at segment 8 of the liver.

Case Discussion

Pathology proven case of prostate cancer with local invasion to seminal vesicles, urinary bladder and UVJs. Regional, parailiac and para-aortic lymphadenopathies.

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