Abstract
Prostatic ductal adenocarcinoma, is an uncommon entity in the spectrum of prostatic carcinoma. Clinically it is different from common prostatic acinar adenocarcinoma. It is usually more aggressive than prostatic acinar adenocarcinoma. We are presenting a case report on prostatic ductal adenocarcinoma, a cystic variant of prostatic carcinoma in a 55-year-old man who complained of obstructive urinary symptoms with mildly raised prostate-specific antigen (PSA). On further evaluation in our radiology department a cystic lesion with enhancing polypoidal soft tissue component was noted in prostatic parenchyma. Histopathology confirmed the diagnosis of ductal adenocarcinoma.
Highlights
As hair becomes white in men, the risk of prostatic malignancy increases
We are presenting a case report on prostatic ductal adenocarcinoma, a cystic variant of prostatic carcinoma in a 55-year-old man who complained of obstructive urinary symptoms with mildly raised prostate-specific antigen (PSA)
World Health Organization (WHO) in 2016 classified epithelial tumor of the prostate in various subcategories like acinar and ductal adenocarcinoma and almost all prostatic malignancies develop from glands as acinar adenocarcinoma
Summary
As hair becomes white in men, the risk of prostatic malignancy increases. Prostatic cancer is the second most common cause of death in men usually having an indolent course. A 55-year-old man came to our hospital with complaints of vague abdominal pain, burning micturition, hematuria, increased frequency and urgency of urine, more during night and pain during defecation since four months He was referred to the urology department where the clinical examination was done including digital rectal examination which revealed an enlarged prostate. The patient was further investigated in our radiology department where an abdominal ultrasonography and intravenous pyelography (IVP) was done On ultrasonography, he was diagnosed with moderate hydroureteronephrosis with chronic cystitis with significant post void urine and increased volume of the prostate which measured approximately (75)cc with gradeIII prostatomegaly and a large cystic swelling within prostatic parenchyma. Serum PSA level was within normal range of 4 ng/ml and under follow up
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