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Prostatic Adenocarcinoma Incognito Manifestation as Generalized Lymphadenopathy: a Rare Case Report

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Abstract

Generalized lymphadenopathy is a rare manifestation of carcinoma prostate. Here, we report a case of a 73-year-old male who presented with left supraclavicular lymphadenopathy along with hoarseness of voice and weight loss. His CT neck, chest, abdomen, and subsequently18F-FDG PET CT were suggestive of generalized lymphadenopathy with skeletal involvement. He was not having any urinary or bone symptoms. The biopsy of supraclavicular lymph node revealed metastatic adenocarcinoma, whose prostatic origin was suggested by IHC staining of PSA. The diagnosis was confirmed by prostatic biopsy along with markedly raised serum PSA. We emphasize that in men with adenocarcinoma of undetermined origin, a suspicion of prostate cancer is important for accurate diagnosis and therapeutic approach.

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Authors and Affiliations

  1. DNB Medical Oncology Resident, Dharamshila Hospital and Research Centre, Vasundhara Enclave, New Delhi, 110096, India

    Amit Sehrawat & Satyanker Gupta

  2. DNB Surgical Oncology Resident at Dharamshila Hospital and Research Centre, Vasundhra Enclave, New Delhi, 110096, India

    Tiwari Alok

Authors
  1. Amit Sehrawat
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  2. Satyanker Gupta
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  3. Tiwari Alok
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Corresponding author

Correspondence to Amit Sehrawat.

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The authors declare that they have no conflict of interest.

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Key Messages

We emphasize that in men with adenocarcinoma of undetermined origin, a suspicion of prostate cancer is important for accurate diagnosis and therapeutic approach. Any elderly male presenting with generalized lymphadenopathy, prostate cancer metastasis should also be considered especially if the biopsy reveals adenocarcinoma of undetermined origin in a clinical setting of raised PSA

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Sehrawat, A., Gupta, S. & Alok, T. Prostatic Adenocarcinoma Incognito Manifestation as Generalized Lymphadenopathy: a Rare Case Report. Indian J Surg Oncol 8, 91–93 (2017). https://doi.org/10.1007/s13193-016-0558-5

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  • DOI: https://doi.org/10.1007/s13193-016-0558-5

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