Journal
CUREUS JOURNAL OF MEDICAL SCIENCE
Volume 15, Issue 2, Pages -Publisher
CUREUS INC
DOI: 10.7759/cureus.34602
Keywords
colonic metastasis; prostate cancer; prostate carcinoma; liver metastasis; prostate -specific antigen; psa; rectal metastasis; adenocarcinoma; metastatic prostate carcinoma
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This is a case report about prostate cancer, in which a 60-year-old male patient presented with abdominal pain and was found to have polyps in the colon, a rectal mass with eccentric thickening of the rectum, a moderately enlarged prostate, and multiple liver masses suggestive of metastasis upon further investigation. Initially thought to be colorectal cancer with metastasis, it was eventually diagnosed as stage IV prostate adenocarcinoma with metastases to the liver and rectum. It is very unusual for prostate cancer to present with distal metastasis to the liver and rectum, as in this case.
Prostate cancer is common cancer that grows slowly and tends to metastasize to bones, lungs, and the liver. Most malignancies have established patterns in presentation, localization, and organs where they metastasize. We are presenting a case of a 60-year-old man who presented with abdominal pain and, on further investigation, was found to have polyps in the colon, a flat rectal mass with eccentric thickening of the rectum, a moderately enlarged prostate, and multiple liver masses suggestive of metastasis. It was initially thought to be colorectal cancer with metastasis but was eventually diagnosed as a stage IV prostate adenocarcinoma with metastases to the liver and rectum. It is very unusual for prostate cancer to present with distal metastasis to the liver and rectum, as in this case.
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