139: Incidental Finding of Prostate Cancer at Cystoprostatectomy: Changes in Incidence in the PSA ERA

2006 ◽  
Vol 175 (4S) ◽  
pp. 45-45
Author(s):  
Daniel McRackan ◽  
Erik Kouba ◽  
Culley C. Carson ◽  
Eric M. Wallen ◽  
Raj S. Pruthi
Author(s):  
Christopher Ambrogi ◽  
◽  
Madina Ndoye ◽  

The term “Situs ambiguus” describes the configuration when some, but not all thoracic and abdominal organs are abnormally positioned. It is commonly associated with polysplenia, or multiple spleens. 50-100% of situs ambiguus with polysplenia have associated cardiac malformations [1]. We present a 70 year old male who came to our hospital for complete, acute, urinary retention, and was found to have invasive prostate cancer. Incidentally, the liver was positioned on the left side, and the spleen was located on the right side. There were multiple perisplenic nodular formations with peripheral calcifications that had enhancement kinetics similar to those of the spleen, suggesting polysplenia. In low thoracic cuts, the tip of the heart was clearly on the left side. The presence of situs ambiguus with polysplenia in the absence of cardiac abnormalities makes this case a unique presentation of an already rare condition. Clinicians should regularly consider the possibilities of anatomical variation in their medical and surgical practices.


2000 ◽  
Vol 164 (2) ◽  
pp. 457-458 ◽  
Author(s):  
L.I. LIU ◽  
PAMELA DEVINE ◽  
EUGENE EINHORN ◽  
GARY D. KAO

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
C T Berridge ◽  
S B N Bhugalee ◽  
S Jothimuruga ◽  
M A Khan

Abstract Aim Two week wait pathways demand rapid investigation of patients with suspected prostate cancer. To facilitate this, mpMRI prostate imaging is now routinely organised for patients whom meet specific criteria, without prior physical review by an urologist. We sought to establish what incidental findings were amongst this patient group and whether management was affected. Method All patients referred between 1/4/2019 – 30/4/20 on a suspected prostate cancer pathway to the Leicester General Hospital were included with those coded to have had pre-clinic MRI selected. Results During this period 1487 patients were referred on the pathway of which 482 were coded as having has pre-clinic MRI. 8 patients were excluded due to incorrect coding leaving 474 to be analysed. 121 patients had incidental findings mentioned in the report, of these a higher proportion did not have prostate cancer (69%). There were just 11 (2%) significant findings that required further investigation or intervention. These included colorectal lesions, primary bone lesions, suspected bladder cancers and urinary tract calculi. Of this group 3 patients had prostate cancer. Of note 13% of these patients were noted to have diverticular disease and 6% had herniae noted although none required emergent treatment. In this series 32% of patients were confirmed to have prostate cancer with 67.1% of MRI scan reported as PIRADS 3-5. Conclusions Pre-clinic MRI prostate facilitates rapid investigation for suspected prostate cancer. There is a small chance of establishing a significant incidental finding which is slightly more common in the non-cancer group.


Diagnostics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 129
Author(s):  
Simon Sirtl ◽  
Andrei Todica ◽  
Harun Ilhan ◽  
Michal Zorniak ◽  
Peter Bartenstein ◽  
...  

An 82-year-old man suffering from prostate cancer that was scheduled for a radioreceptor-ligand therapy (RLT) presented with jaundice to our service. An abdominal ultrasound (US) revealed obstructive extrahepatic cholestasis due to a solid lesion located in the uncinate process of the pancreas. The Prostate Specific Membrane Antigen (PSMA) PET/CT prior to RLT showed multilocular PSMA positive tumor lesions in the lymph nodes, the lung and the pancreas. On request of the cancer board, an Endoscopic Ultrasound (EUS)-guided Fine-Needle Aspiration (FNA) of the pancreatic mass was performed revealing invasive pancreatic ductal adenocarcinoma incompatible with a prostate cancer metastasis leading to the diagnosis of a PSMA positive pancreatic ductal adenocarcinoma.


2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anna Calabrò ◽  
Giovanni Bosio ◽  
Emma Drera ◽  
Raffaele Giubbini ◽  
Francesco Bertagna

2020 ◽  
pp. 1-2
Author(s):  
Anusha G ◽  
Lawrence D'Cruze ◽  
Sandhya Sundaram ◽  
Divya D ◽  
Natarajan K

Prostatic adenocarcinoma is the second most commonly diagnosed malignancy in males following lung cancer. It commonly metastasizes to bone . Prostate cancer metastasizing to testis is rare, and commonly detected as an incidental finding in orchidectomy specimen . Skin metastasis is exceptionally rare presentation and seen in cases of advanced prostate cancers. Here, we report a case of prostatic adenocarcinoma presenting with metastatic deposits in skin and incidentally found metastatic deposits in left testis , found during examination of bilateral orchidectomy specimen performed for hormonal management of advanced prostate cancer . The prostatic origin of metastasis was confirmed by immunohistochemical staining for NKX3.1 , a nuclear marker specific for prostate epithelium.


2020 ◽  
Vol 13 (9) ◽  
pp. e232339
Author(s):  
Pritam Daniel Sundaresan ◽  
Magdalen Foo

A 78-year-old man was referred to the Special Needs Dentistry Clinic for review prior to beginning bisphosphonate treatment as part of the management for his metastatic prostate cancer given the increased risk of medication-related osteonecrosis of the jaws in this patient cohort. Imaging revealed a well-defined radiolucency in the mandible that was closely associated with a non-vital anterior tooth. The lesion was asymptomatic. Incisional biopsy revealed a low grade B cell lymphoproliferation compatible with a monoclonal B-cell lymphocytosis (MBL). The patient was subsequently referred to haematology as MBL may develop into chronic lymphocytic leukaemia.


Author(s):  
Camila Edith Stachera Stasiak ◽  
Fabrícius Rocha Cardoso ◽  
Sergio Altino de Almeida ◽  
Paulo Henrique Rosado-de-Castro

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