Omental metastasis with malignant ascites: an unusual manifestation of prostatic adenocarcinoma

Omental metastasis with malignant ascites from prostatic adenocarcinoma israre. This case report is about a patient who presented with a 24-hour historyof a swollen right leg. Clinical examination revealed a hard prostate and bloodbiochemistry demonstrated an elevated prostate specific antigen level...

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Bibliographic Details
Published in:Canadian Urological Association journal 2012-12, Vol.1 (3)
Main Authors: Madaan, Sanjeev, Palit, Victor, Gudgeon, Patricia, Biyani, Chandra Shekhar
Format: Article
Language:English
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Summary:Omental metastasis with malignant ascites from prostatic adenocarcinoma israre. This case report is about a patient who presented with a 24-hour historyof a swollen right leg. Clinical examination revealed a hard prostate and bloodbiochemistry demonstrated an elevated prostate specific antigen level. A Dopplerultrasound scan excluded deep venous thrombosis, but a CT scan of the abdomen revealed marked para-aortic lymphadenopathy and prostate gland biopsy confirmedprostatic adenocarcinoma. The patient was treated with goserelin. Three years later, he presented with ascites and an omental mass. Histology of theomental mass showed metastasis from the prostatic adenocarcinoma. He was treated with second-line hormonal therapy but died after 4 months. We discuss the clinical progression, with a review of the literature.
ISSN:1911-6470
1920-1214
DOI:10.5489/cuaj.86