Title: Unusual Presentation of Metastatic Carcinoma of Prostate with Cervical Lymphadenopathy as Initial Presentation -A Case Report and Review
Authors: Zeba Chaudhary, Shahid Anjum, Mohit Thalquotra, Mudassir Khan, Abdul Hakim
DOI: https://dx.doi.org/10.18535/jmscr/v7i6.179
Abstract
It is estimated that there are almost 1.3 million new cases of prostate cancer, ranking as the second most frequent cancer and the fifth leading cause of cancer death in men. It is the most frequently diagnosed cancer among men in over one-half (105 of 185) of the countries of the world.
Prostate cancer presenting as cervical lymphadenopathy as initial presentation is rare while most present with genitourinary symptoms. We present a case of a 97 years-old male who presented with supraclavicular lymphadenopathy as the primary complaint. FNAC from lymph node revealed metastatic adenocarcinoma. CECT chest and abdomen revealed large left cervical lymphadenopathy with few subcentimetric pre and paraaortic lymph nodes without any other obvious lesion. Serum PSA was grossly elevated with value 269 ng/ml, based on PSA value diagnosis of metastatic carcinoma of prostate was made.
Keywords: Prostate, cervical lymphadenopathy, PSA.
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