Presentation
PSA level 5. Digital rectal examination - benign feeling prostate. Malignancy?
Patient Data
Age: 75 years
Gender: Male
From the case:
Benign prostate hyperplasia
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Prostate volume 78 mL. PSA density of 0.11ng/mL.
Marked BPH (PIRADS 2).
The peripheral zones are normal. No significant PIRADS abnormality.
Normal seminal vesicles. No size significant pelvic lymphadenopathy. No focal bone lesion.
Right fat-containing inguinal hernia. Sigmoid diverticulosis.
Case Discussion
The prostate gland is markedly enlarged due to benign hyperplasia. In a gland of this size, the PSA density is therefore low despite the marginally raised PSA level.
The normal appearances of the peripheral zones are well illustrated as well as the zonal anatomy of the prostate gland.