Prostate Cancer Presenting With an Unusual Presentation of Rectal Pain and Bleeding

被引:0
|
作者
Haq, Muhammad S. [1 ]
Thomas, Pravin M. [1 ]
Almonte, Marcos [1 ]
Mohan, Vinuta [2 ]
机构
[1] St Francis Med Ctr, Internal Med, Trenton, NJ 08629 USA
[2] St Francis Med Ctr, Internal Med Endocrinol, Trenton, NJ USA
关键词
metastastic cancer; rectal mass; rectal bleeding; colorectal cancer; prostate cancer;
D O I
10.7759/cureus.18766
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report an atypical case of prostate cancer with rectal involvement presenting with gastrointestinal symptoms predominately and a rectal mass. A 51-year-old male patient came to the hospital with abdominal pain and rectal bleeding. Imaging revealed prostate enlargement, perirectal lymphadenopathy, and multiple hepatic and pulmonary nodules. The patient also had an elevated prostate-specific antigen (PSA) of 502 ng/mL (against normal range 0.6-0.7 ng/mL). Biopsies were performed on tissue samples taken from the rectum and prostate gland, which confirmed the diagnosis of prostate adenocarcinoma. The lack of urinary symptoms and close clinical similarity to colorectal cancer presented a diagnostic challenge for us. Familiarity with this specific presentation of prostate cancer is necessary to avoid misdiagnoses and guide correct treatment.
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页数:5
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