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Unusual Presentation of Metastatic Prostate Cancer: A Case Report | OMICS International | Abstract

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Case Report

Unusual Presentation of Metastatic Prostate Cancer: A Case Report

Tawfeeq H* and Ihezue C

Department of Radiology, Queen Alexandra Hospital, Portsmouth, England

*Corresponding Author:
Haseeba Tawfeeq
Department of Radiology, Queen Alexandra Hospital
Portsmouth, England
Tel: 00447743698638
E-mail: haseebatawfeeq@yahoo.com

Received date: July 10, 2017; Accepted date: July 28, 2017; Published date: August 02, 2017

Citation: Tawfeeq H, Ihezue C (2017) Unusual Presentation of Metastatic Prostate Cancer: A Case Report. OMICS J Radiol 6:267. doi: 10.4172/2167-7964.1000267

Copyright: © 2017 Tawfeeq H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

61-year-old male, previously healthy, presented to Primary care with four-month history of non-tender, non-traumatic left lower neck mass. Patient denied any significant urinary or constitutional symptoms or any bone pain. A referral for neck Ultrasound was organized which showed an abnormal rounded hypoechoic left SCF (supraclavicular fossa) node with loss of fat hilum. USS (Ultrasound)-guided biopsy of this node was performed, and while histological results were being awaited, a CT (neck, chest and abdomen) was done. The scan results demonstrated multiple left SCF and upper left retroperitoneal/para-aortic nodes. A working diagnosis of Lymphoma was entertained at this point and whilst the result of the biopsy was being awaited a PET-CT was done which showed the presence of metabolically active left SCF nodes, of which, the most prominent one showing a standardized uptake value (SUVMax=4). In addition, the scan showed a focal activity in the right peripheral zone of the prostate gland (SUVMax=5) along with metabolically active lesions involving the pelvic bones and the neck of the left femur consistent with skeletal metastases (SUVMax=6). Biopsy of the left SCF node showed evidence of prostatic adenocarcinoma. This case report reviews an uncommon presentation of prostate cancer with supraclavicular adenopathy.

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