Prostatic bony metastases

Case contributed by Dr Ian Bickle

Presentation

Backpain and left sided claudication and radiculopathy. No history of malignancy.

Patient Data

Age: 75 years
Gender: Male
MRI

The entirety of the spine is infiltrated with metastatic disease.

Several vertebra such as T12 have extension into the posterior elements, but no cord compression.

Small volume cervical disc osteophyte complexes and lumbar disc disease causing an element of canal stenosis at L4/L5.

Pathological para-aortic and pelvic lymphadenopathy.

Infiltrative bone disease in the visualized pelvis.

Case Discussion

The appearances are those of diffuse bony metastatic disease.  

The presence of pelvic and para-aortic lymphadenopathy raised the suspicion of a pelvis primary tumor.

CT of the abdomen and pelvis and transrectal ultrasound guided biopsy of the prostate were undertaken.

Histology demonstrated adenocarcinoma of the prostate.

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Case information

rID: 54958
Published: 26th Aug 2017
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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