Locally advanced prostate cancer

Case contributed by Dr Chris O'Donnell

Presentation

Low back pain. Sclerotic bone lesions on radiograph. Ultrasound demonstrates bilateral hydronephrosis together with an enlarged prostate. PSA is elevated. MRI for further investigation

Patient Data

Age: 55
Gender: Male

Enlarged prostate infiltrated with tumour extending anteriorly into the bladder base (arrow), laterally into the distal ureters (especailly on the left) - arrow, posteriorly into the right seminal vesicle and the anterior wall of the rectum (arrow).  Note multiple lesions in the pelvic bones showing restricted diffusion (b value of 800 msec) indicative of metastasis.

Case Discussion

Local staging of prostate cancer is usually performed as a multiparametric technique ie T2 signal, DWI and perfusion (+/- spectroscopy).  In this case the anatomical changes are dramatic.

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Case information

rID: 30996
Case created: 14th Sep 2014
Last edited: 9th Jan 2016
System: Urogenital
Inclusion in quiz mode: Included

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