A rare case of prostatic malignancy

A 70-year-old male presented with refractory urinary retention 3 years back. He had undergone a prior trans urethral resection of prostate (TURP) 5 months back elsewhere. A revision TURP was done and the histopathology showed differentiated adenocarcinoma with cartilaginous and osseous metaplasia. B...

Full description

Saved in:

Bibliographic Details
Published in:	Indian journal of medical sciences Vol. 66; no. 7-8; p. 189
Main Authors:	Kishore, T A, Shetty, Abijit, Tharun, B K, Joycee, Mintu
Format:	Journal Article
Language:	English
Published:	India 01-07-2012
Subjects:	Adenocarcinoma - radiotherapy Adenocarcinoma - secondary Adenocarcinoma - surgery Aged Bone Neoplasms - radiotherapy Bone Neoplasms - secondary Humans Male Neoplasm Grading Neoplasm Recurrence, Local - pathology Neoplasm Recurrence, Local - radiotherapy Prostatic Neoplasms - pathology Prostatic Neoplasms - radiotherapy Prostatic Neoplasms - surgery Transurethral Resection of Prostate
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	A 70-year-old male presented with refractory urinary retention 3 years back. He had undergone a prior trans urethral resection of prostate (TURP) 5 months back elsewhere. A revision TURP was done and the histopathology showed differentiated adenocarcinoma with cartilaginous and osseous metaplasia. Bone scan showed no evidence of metastasis. He underwent bilateral orchidectomy soon after. He presented with urinary retention 14 months later and underwent TURP. Hard prostatic tissue was resected and histopathology reports were same as previous report. Bone scan showed evidence of solitary metastasis in the second rib. MRI and CT scan showed re-growth. He had persisting lower urinary tract symptoms with hematuria. A palliative radiation was given which alleviated the urinary symptoms; patient refused radical cystoprostatectomy and currently is on conservative management.
ISSN:	1998-3654