Omental metastasis with malignant ascites: an unusual manifestation of prostatic adenocarcinoma

Authors

  • Sanjeev Madaan, Department of Urology, Pinderfields General Hospital, Wakefield, West Yorkshire, UK
  • Victor Palit Department of Urology, Pinderfields General Hospital, Wakefield, West Yorkshire, UK
  • Patricia Gudgeon Department of Pathology, Dewsbury District Hospital, Dewsbury, West Yorkshire, UK
  • Chandra Shekhar Biyani Department of Urology, Pinderfields General Hospital, Wakefield, West Yorkshire, UK

DOI:

https://doi.org/10.5489/cuaj.86

Abstract

Omental metastasis with malignant ascites from prostatic adenocarcinoma israre. This case report is about a patient who presented with a 24-hour historyof a swollen right leg. Clinical examination revealed a hard prostate and bloodbiochemistry demonstrated an elevated prostate specific antigen level. A Dopplerultrasound scan excluded deep venous thrombosis, but a CT scan of the abdomen revealed marked para-aortic lymphadenopathy and prostate gland biopsy confirmedprostatic adenocarcinoma. The patient was treated with goserelin. Three years later, he presented with ascites and an omental mass. Histology of theomental mass showed metastasis from the prostatic adenocarcinoma. He was treated with second-line hormonal therapy but died after 4 months. We discuss the clinical progression, with a review of the literature.

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Published

2012-12-11

How to Cite

Madaan, S., Palit, V., Gudgeon, P., & Biyani, C. S. (2012). Omental metastasis with malignant ascites: an unusual manifestation of prostatic adenocarcinoma. Canadian Urological Association Journal, 1(3). https://doi.org/10.5489/cuaj.86

Issue

Vol. 1 No. 3 (2007): CUAJ September

Section

Case Report

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