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Unusual initial presentation of prostate adenocarcinoma with inguinal lymph nodes metastases: a case report.
Glavinov, Maja Sofronievska; Jovanovic, Rubens; Majstorov, Venjamin; Burneski, Jovo; Nikolovski, Andrej.
Afiliación
  • Glavinov MS; Faculty of Medical Sciences, University "Goce Delcev", 2000, Stip, North Macedonia and University Surgery Hospital "St. Naum Ohridski", Department of Urology, 11 Oktomvri 53, Skopje, North Macedonia.
  • Jovanovic R; Institute of Pathology, Medical Faculty, University "Ss. Cyril and Methodius University in Skopje", Skopje, North Macedonia.
  • Majstorov V; Institute of Pathophysiology and Nuclear Medicine, Medical Faculty, University "Ss. Cyril and Methodius University in Skopje", Skopje, North Macedonia.
  • Burneski J; Department of Surgery, General Hospital "Borka Taleski", Prilep, North Macedonia.
  • Nikolovski A; Medical Faculty, "Ss. Cyrli and Methodius University in Skopje", 1000 Skopje, North Macedonia and Department of Visceral Surgery, University Surgery Hospital "St. Naum Ohridski", 11 Oktomvri 53, Skopje, North Macedonia.
Oxf Med Case Reports ; 2024(4): omae027, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38680777
ABSTRACT
The presence of lymph node metastases in prostate adenocarcinoma is a poor prognostic sign, and mortality rates are often high. Inguinal lymph node metastases are an unusual presentation of advanced disease, and they can be easily misinterpreted with other diseases. We present a case of a 63-year-old patient with no previous symptoms and signs of prostate disorder with a right-sided inguinal lump and abdominal pain. The CT scan showed right inguinal and retroperitoneal lymphadenopathy. Elevated PSA serum levels, digital rectal examination, and skeletal scintigraphy with 99mTc-MDP favored the diagnosis of metastatic prostate adenocarcinoma. Since the patient denied prostate biopsy, a dissection of the right inguinal nodes was performed. Histopathological findings confirmed metastatic prostate adenocarcinoma. The treatment was hormonal and bisphosphonate therapy, with objective posttreatment improvement. Based on this case, it can be concluded that inguinal and generalized lymphadenopathy are potential initial manifestations of metastatic prostate adenocarcinoma in male patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Oxf Med Case Reports Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Oxf Med Case Reports Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido