Locally invasive prostate adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Pelvic pain and mass feeling.

Patient Data

Age: 75 years
Gender: Male

Patchy ill-defined subpleural ground glass opacities are seen at both lung bases suggestive for COVID-19 pneumonia.

Case Discussion

Pelvic mass with local invasion; pathology proven prostate adenocarcinoma; with regional lymphadenopathies.
Prostate cancer can spread by local invasion (typically into the bladder and seminal vesicles; urethral and rectal involvement are rare), lymphatic spread (pelvic nodes first followed by para-aortic and inguinal nodes), or by hematogenous metastases.

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