To report the diagnosis and treatment of an 81-year-old man with advanced prostate cancer presenting with multiple organ metastases, including renal and liver involvement.
Key Findings:
The patient had a total PSA level of 274.71 ng/mL and presented with bilateral renal metastases, which is rare in prostate cancer.
Histopathological examination confirmed metastatic prostatic acinar adenocarcinoma with a high Ki-67 proliferation index of 40%, indicating high proliferative activity.
The case highlights the need for rigorous postoperative surveillance and timely adjustments in endocrine therapy.
Interpretation:
Limitations:
The case represents a single patient experience, limiting generalizability to broader populations.
Limited literature exists on visceral metastases in castration-sensitive prostate cancer, necessitating further research.
Conclusion:
The findings contribute to the understanding of treatment-emergent metastatic patterns in prostate cancer.
