Unusual Initial Presentation of Prostate Adenocarcinoma With Inguinal Lymph Nodes Metastases: a Case Report

Sofronievska, Maja and Jovanovic, Rubens and Majstorov, Venijamin and Nikolovski, Andrej (2024) Unusual Initial Presentation of Prostate Adenocarcinoma With Inguinal Lymph Nodes Metastases: a Case Report. Oxford Medical Case Reports, 2024 (4). ISSN 2053-8855

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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.

Item Type: Article
Impact Factor Value: 0.5
Subjects: Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Medical Science
Depositing User: Maja Sofronievska
Date Deposited: 17 May 2024 13:42
Last Modified: 22 Aug 2024 10:44
URI: https://eprints.ugd.edu.mk/id/eprint/34060

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