Cystic Adenocarcinoma of Prostate: A Case Report

Kl, Ng; Sathiyananthan,; Dublin, Norman; Ah, Razack; G, Lee

doi:10.22452/jummec.vol14no1.4

JUMMEC

2011

DOI: 10.22452/jummec.vol14no1.4

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Cystic Adenocarcinoma of Prostate: A Case Report

Ng Kl¹,

Sathiyananthan Sathiyananthan²,

Norman Dublin³

et al.

Abstract: SUMMARYProstate cancer is not uncommon amongst the elderly men. Diagnosis is made using histopathology specimens of Transrectal Ultrasound guided biopsy of the prostate gland. However, prostate cancer presenting as a intra-prostatic cysts are rare. We report a case of elderly gentleman who presented with malignant intra-prostatic cysts.

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Cited by 2 publications

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3-Tesla-MRT von seltenen zystisch imponierenden Prostatakarzinomen

Thiele

Hippe

Steiner

et al. 2014

Urologe

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Magnetic resonance imaging of rare cystic prostate cancers using multiparametric MRI (mp-MRI, 3 Tesla) shows, especially in solid tumor masses, the criteria of ESUR-MR classification with a PI-RADS >3 ("probably malignant"). In association with additional morphological evidence of intracystic hemorrhage and evidence of villous tumor nodules and irregular septa on the cyst wall, further malignancy criteria are met. MRI complementary to TRUS may be useful for targeted biopsy in solid tumor areas.

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3-Tesla-MRT von seltenen zystisch imponierenden Prostatakarzinomen

Thiele

Hippe

Steiner

et al. 2014

Urologe

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Cystic Prostatic Carcinoma – A Clinical Case and Literature Review

Popov¹,

Орлов²,

Chernysheva³

et al. 2021

RRU

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Cystic formations in the prostate are quite common, but the vast majority are benign. The cystic form of prostate adenocarcinoma can present unexpected symptoms, and management can be difficult because of the local advanced stage of the disease. A unique feature of this case is the surgical local cancer treatment. In this clinical case, we describe the literature surrounding this rare form of neoplasm. We present a clinical case of a rare form of prostate cancer in a 71-year-old male who was admitted to ER with acute urinary retention. A huge obstructing prostatic cyst was revealed. After successful trial-without-catheter, the patient underwent transperineal cyst draining and this restored urination. PSAt was increased up to 55 ng/mL. The cystic wall biopsy revealed adenocarcinoma with a Gleason score of 8 (4+4) (Gleason Group IV), and distant metastasis was noticed with PSMA PET/CT. The patient started androgen deprivation therapy (ADT) with excellent PSA dynamics in three months. Because of lower urinary tract symptoms, he needed local treatment and underwent radical prostatectomy. A three-month follow-up demonstrated a common post-operative period, mild stress incontinence, and PSAt 0.004 ng/mL. Cystic prostatic carcinoma can manifest as urinary retention and be mistakenly taken for a benign obstructing prostate cyst. Despite the locally advanced tumor, it can be successfully treated locally in highly selected patients.

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Cystic Adenocarcinoma of Prostate: A Case Report

Cited by 2 publications

References 6 publications

3-Tesla-MRT von seltenen zystisch imponierenden Prostatakarzinomen

3-Tesla-MRT von seltenen zystisch imponierenden Prostatakarzinomen

Cystic Prostatic Carcinoma – A Clinical Case and Literature Review

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