Carcinoma of the prostate masquerading as rectal carcinoma. Report of 3 cases and review of the literature.
We present 3 patients with prostatic tumours who presented with symptoms of rectal stenosis. In all 3 cases digital examination of the rectum revealed a mass suggestive of rectal carcinoma, but carcinoma of the prostate was suspected because of other clinical features and this was confirmed by biopsy. Treatment by hormonal manipulation resulted in a dramatic improvement in symptoms. The diagnostic and management difficulties associated with this unusual presentation of carcinoma of the prostate are described, together with a review of the literature.
Department of Urology, Stepping Hill Hospital, Stockport.
M C
MC
Foster
P H
PH
O'Reilly
D000230:Adenocarcinoma / Q000175:diagnosis; D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000175:diagnosis*; D012004:Rectal Neoplasms / Q000175:diagnosis*