Abstract
Background: Prostate cancer is a prevalent malignancy, particularly among older males, characterized by slow growth. Late presentation is common due to its peripheral zone origin. Lower urinary tract symptoms (LUTS), back pain, and anemia are frequently associated with prostate carcinoma. Pathologic fractures resulting from prostate carcinoma are relatively rare due to its blastic nature, and it is even more unusual for a fracture to be the initial presentation. Case Report: We present the case of a 75-year-old male who experienced a pathological fracture in the left subtrochanteric region of the femur as the first manifestation of prostate cancer. This case highlights the need for a ultidisciplinary team approach in managing such cases. Conclusion:The occurrence of a subtrochanteric femur fracture as the initial presentation of prostate cancer is a rare phenomenon. This case underscores the importance of considering prostate cancer as a possible underlying cause of atypical fractures and emphasizes the need for a multidisciplinary approach to ensure optimal patient care and management.
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