TITLE:
Advanced Prostate Cancer: A Case Report
AUTHORS:
A. S. Ondziel Opara, A. M. Ondongo Atipo, A. W. S. Odzébé, R. B. Banga Mouss, B. Lebweze, P. A. Bouya
KEYWORDS:
Prostatic Adenocarcinoma, Penile, Urethra, Rectum
JOURNAL NAME:
Open Journal of Urology,
Vol.9 No.1,
January
17,
2019
ABSTRACT: There are few reported cases in the prostate adenocarcinoma literature with
locoregional extension and normal prostate-specific antigen (PSA). We present
the case of a patient with prostate adenocarcinoma and metastases with PSA
values within the normal range, despite evidence of clinical and radiological
progression of the disease. This is a 72-year-old patient presenting with a dysectatic
syndrome in which there is a budding ulceration of the glans, an induration
of the corpora cavernosa and whose rectal examination has objectified
a malignant prostate. PSA was assayed at 3.47 ng/ml; prostatic biopsy
and magnetic resonance imaging (MRI) revealed prostate cancer with extension
to the urethral, cavernous and rectal areas. Hormone therapy was instituted
and the course after two months was marked by the occurrence of
several episodes of anemia treated by blood transfusion.