Title: What's your diagnosis?
Authors: Deconinck, S. ×
Blyweert, Wim
Joniau, Steven
Van Poppel, Hendrik #
Issue Date: 2009
Publisher: Ariez Medical Publishing
Series Title: Belgian Journal of Medical Oncology vol:3 issue:3 pages:128-128
Abstract: Patient history
Two years ago, a Gleason score 8, cT4 prostate carcinoma
with bone metastases and affected iliac and retrocaval lymph nodes was diagnosed in an 74 yearold man. LHRH-agonist therapy associated with one month of antiandrogen therapy to prevent flare up was started immediately. Eight months later, PSA had dropped from 59 μg/l to a 0,47 μg/l nadir. Recently this man presented to the outpatient clinic
with complaints of a painful and continuous erection
since a few weeks. PSA had in the meantime risen to
4,56 μg/l. Physical examination revealed an erect penis
with several hard nodules in both corpora cavernosa
(Figure 1). On digital rectal examination, a cT4
prostate carcinoma was felt. There were no palpable
lymph nodes, neither percussion pain of the spine.
ISSN: 1784-7141
Publication status: published
KU Leuven publication type: AT
Appears in Collections:Urology Section (-)
× corresponding author
# (joint) last author

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