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African Journal of Urology

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Metastatic basal cell carcinoma of prostate in a young adult: A rare aggressive entity

G. Kapatia, V.S. Attri, U.K. Mete, P. Rastogi

Abstract


Introduction: Prostate cancer is one of the commonest, malignancies affecting elderly males. Prostatic basal cell carcinoma, (PBCC) accounts for less than 0.01% of all prostate cancers.
Observation: A 32-year-old man presented with hematuria and lower urinary tract symptoms. Clinical examination showed hard, nodular enlarged prostate with multiple penile hard nodules. His prostate-specific antigen (PSA) level was 0.91 ng/mL. Histopathological examination of the fingerguided prostate biopsy revealed a malignancy with features of basal cell carcinoma. Further imaging studies were performed and metastases were found in both lungs, penis, pelvic lymph nodes and right ischium.
Conclusion: The current case highlights PBCC as a diagnostic pitfall which presented in a young adult with a normal PSA level.




http://dx.doi.org/10.1016/j.afju.2018.11.004
AJOL African Journals Online