Metastatic Adenocarcinoma of the Prostate Presenting as Supraclavicular and Bulky Generalized Lymphadenopathy with a Benign Digital Rectal Exam

Edward J. Park; Florian A. Stroie; Brian J. McArdle; Sarah P. Psutka

doi:10.1016/j.eucr.2017.04.005

Metastatic Adenocarcinoma of the Prostate Presenting as Supraclavicular and Bulky Generalized Lymphadenopathy with a Benign Digital Rectal Exam

Edward J. Park^*, Florian A. Stroie, Brian J. McArdle, Sarah P. Psutka

^*Corresponding author for this work

Urology

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

A 63-year-old male presented with complaints of an enlarging left supraclavicular mass and weight loss. Computed tomography demonstrated a large retroperitoneal mass causing displacement of the adjacent organs, and moderate left hydroureteronephrosis. Multiple pulmonary nodules, lytic spinal lesions, and generalized lymphadenopathy including the left supraclavicular region were seen. Serum prostate-specific antigen level was 2064.0 ng/mL. Digital rectal exam revealed an enlarged prostate without nodularity. Biopsy of the supraclavicular node demonstrated prostatic adenocarcinoma. The diagnosis of lymphoma may be initially suggested, however, prostatic origin should be considered even when the prostate exam is not grossly abnormal.

Original language	English (US)
Pages (from-to)	128-130
Number of pages	3
Journal	Urology Case Reports
Volume	13
DOIs	https://doi.org/10.1016/j.eucr.2017.04.005
State	Published - Jul 1 2017

Keywords

Benign digital rectal exam
Generalized lymphadenopathy
Metastatic prostate cancer
Supraclavicular lymphadenopathy
Virchow's node
Widespread lymphadenopathy

ASJC Scopus subject areas

Urology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.eucr.2017.04.005

Cite this

@article{381cb1151dd340859fecbb5dc7bce01f,

title = "Metastatic Adenocarcinoma of the Prostate Presenting as Supraclavicular and Bulky Generalized Lymphadenopathy with a Benign Digital Rectal Exam",

abstract = "A 63-year-old male presented with complaints of an enlarging left supraclavicular mass and weight loss. Computed tomography demonstrated a large retroperitoneal mass causing displacement of the adjacent organs, and moderate left hydroureteronephrosis. Multiple pulmonary nodules, lytic spinal lesions, and generalized lymphadenopathy including the left supraclavicular region were seen. Serum prostate-specific antigen level was 2064.0 ng/mL. Digital rectal exam revealed an enlarged prostate without nodularity. Biopsy of the supraclavicular node demonstrated prostatic adenocarcinoma. The diagnosis of lymphoma may be initially suggested, however, prostatic origin should be considered even when the prostate exam is not grossly abnormal.",

keywords = "Benign digital rectal exam, Generalized lymphadenopathy, Metastatic prostate cancer, Supraclavicular lymphadenopathy, Virchow's node, Widespread lymphadenopathy",

author = "Park, {Edward J.} and Stroie, {Florian A.} and McArdle, {Brian J.} and Psutka, {Sarah P.}",

note = "Publisher Copyright: {\textcopyright} 2017",

year = "2017",

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day = "1",

doi = "10.1016/j.eucr.2017.04.005",

language = "English (US)",

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T1 - Metastatic Adenocarcinoma of the Prostate Presenting as Supraclavicular and Bulky Generalized Lymphadenopathy with a Benign Digital Rectal Exam

AU - Park, Edward J.

AU - Stroie, Florian A.

AU - McArdle, Brian J.

AU - Psutka, Sarah P.

PY - 2017/7/1

Y1 - 2017/7/1

N2 - A 63-year-old male presented with complaints of an enlarging left supraclavicular mass and weight loss. Computed tomography demonstrated a large retroperitoneal mass causing displacement of the adjacent organs, and moderate left hydroureteronephrosis. Multiple pulmonary nodules, lytic spinal lesions, and generalized lymphadenopathy including the left supraclavicular region were seen. Serum prostate-specific antigen level was 2064.0 ng/mL. Digital rectal exam revealed an enlarged prostate without nodularity. Biopsy of the supraclavicular node demonstrated prostatic adenocarcinoma. The diagnosis of lymphoma may be initially suggested, however, prostatic origin should be considered even when the prostate exam is not grossly abnormal.

AB - A 63-year-old male presented with complaints of an enlarging left supraclavicular mass and weight loss. Computed tomography demonstrated a large retroperitoneal mass causing displacement of the adjacent organs, and moderate left hydroureteronephrosis. Multiple pulmonary nodules, lytic spinal lesions, and generalized lymphadenopathy including the left supraclavicular region were seen. Serum prostate-specific antigen level was 2064.0 ng/mL. Digital rectal exam revealed an enlarged prostate without nodularity. Biopsy of the supraclavicular node demonstrated prostatic adenocarcinoma. The diagnosis of lymphoma may be initially suggested, however, prostatic origin should be considered even when the prostate exam is not grossly abnormal.

KW - Benign digital rectal exam

KW - Generalized lymphadenopathy

KW - Metastatic prostate cancer

KW - Supraclavicular lymphadenopathy

KW - Virchow's node

KW - Widespread lymphadenopathy

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SN - 2214-4420

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ER -

Metastatic Adenocarcinoma of the Prostate Presenting as Supraclavicular and Bulky Generalized Lymphadenopathy with a Benign Digital Rectal Exam

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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