Prostate carcinoma

Case contributed by Dr Yu-Ming Tang

Presentation

Increased PSA. TRUS biopsy showed prostatitis only.

Patient Data

Age: 58
Gender: Male
MRI

Multiparametric MRI Prostate Gland

Focal suspicious lesion at the anterior transitional zone (mid gland-base).

On T2, the lesion is hypointense, with a lentiform shape and ill-defined margins. It also has the "erased charcoal sign".  

On DWI, there is restricted diffusion with a low ADC value of 600.

On the dynamic contrast enhanced scans, the lesion demonstrated a Type 3 curve.  

The overall PI-RADS score given was 5 / 5.

Case Discussion

A targeted biopsy of the left anterior transitional zone (TZ) lesion, confirmed a Gleason 4 + 3 = 7, carcinoma of the prostate gland. 

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Case information

rID: 35636
Case created: 14th Apr 2015
Last edited: 5th Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

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