Naslov
Metastatic prostate cancer in a patient with clinical presentation of bilateral nephrolithiasis: a case-report

Autori
Jutriša, Ivona ; Jutriša, Inga ; Dujmić, Josipa ; Papišta, Dino ; Britvar, Martina ; Borić, Marijan ; Radoja, Ivan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
OSCON, Book of abstracts / Pavlović, Vedrana - Osijek : Faculty of Medicine Osijek, The J. J. Strossmayer University of Osijek, 2023, 75-75

ISBN
978-953-7736-64-4

Skup
OSCON 2023, International Translational Medicine Congress of Students and Young Physicians

Mjesto i datum
Osijek, Hrvatska, 30.03.2023. - 01.04.2023

Vrsta sudjelovanja
Poster

Vrsta recenzije
Recenziran

Ključne riječi
metastasis ; nephrolithiasis ; prostate cancer

Sažetak
Introduction: Metastatic prostate cancer is an advanced-stage prostate cancer that has spread to distant sites or to the lymph nodes. Prostate cancer is one of the most common types of cancer. Typical symptoms are dysuria, blood in the urine or semen and painful ejaculation. Case report: We present the case of a 62-year-old male who was admitted for examination due to dull periumbilical pain and significant weight loss. X- ray imaging revealed a left-sided perivesical ureterolith. Ultrasonography showed retroperitoneal lymphadenopathy with bilateral obstructive uropathy, second degree dilatation of the duct system of the right kidney and third degree of the left kidney, without determining signs of nephrolithiasis. Due to hydronephrosis, he was redirected for the placement of a double-J stent, which was performed successfully on the right side. Computed tomography and magnetic resonance imaging of the abdomen and pelvis revealed pathologically enlarged lymph nodes and sclerotic changes in the pelvic bones. Magnetic resonance imaging showed enlarged left lobe of the prostate and obliterated border between the central and peripheral zones with disruption of the posterolateral external fibromuscular sheath and part of the stroma. A prostate biopsy was performed, and biopsy sample came back positive for cancer. Blood test results showed significantly elevated (477ng/mL) prostate- specific antigen. The patient was scheduled for bilateral subcapsular orchidectomy. Conclusion: We presented a case report of metastatic prostate cancer with atypical clinical presentation of bilateral nephrolithiasis. Comprehensive diagnostics is crucial to determine valid diagnosis and to start appropriate treatment.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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