Locally advanced prostate cancer

Case contributed by Dr MT Niknejad

Presentation

Poor urinary stream and gross hematuria.

Patient Data

Age: 75 years
Gender: Male

The prostate gland is enlarged and infiltrates the base of the urinary bladder and seminal vesicles. The anterior wall of the rectum is also infiltrated, and surrounding fat stranding is evident.

Several enlarged lymph nodes with SAD less than 28 mm are observed in parailiac and left inguinal regions.

Degenerative changes as osteophytosis are seen in the lumbar spine.
Scoliosis with leftward convexity is present at the lumbar spine.

Case Discussion

Pathology proved prostate adenocarcinoma with local invasion to the adjacent urinary bladder, seminal vesicles and rectum, and enlarged parailiac and inguinal lymph nodes.

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