Prostate carcinoma

Case contributed by Dr Yu-Ming Tang


Increased PSA. TRUS biopsy showed prostatitis only.

Patient Data

Age: 60 years
Gender: Male

Multiparametric MRI prostate

Focal suspicious lesion at the anterior transition zone (mid gland to base).

On T2W, the lesion is hypointense, with a lentiform shape and ill-defined margins. It shows 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 is 5.

Case Discussion

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

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Case information

rID: 35636
Published: 5th May 2015
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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