The importance of MRI evaluation in the preoperative work-up of prostate cancer.
BACKGROUND
A 59-year-old man on exogenous androgen therapy presented with a clinically palpable prostate nodule confined to one lobe on endorectal examination. Serum prostate-specific antigen was 3.4 ng/ml. Bone scintigraphy and baseline CT were reportedly negative.


METHODS
Physical examination, laboratory evaluation, endorectal MRI of the prostate, cystoscopy and biopsy.


METHODS
Poorly differentiated adenocarcinoma of the prostate, with invasion of the urinary bladder.


RESULTS
Neoadjuvant hormonal therapy, followed by radiation.
Department of Urology, Memorial Sloan-Kettering Cancer Center in New York, NY, USA. gersts@mskcc.org
Scott R
SR
Gerst
Abdelkrim K
AK
Touijer
Bertrand
B
Guillonneau
Hikmat
H
Al-Ahmadie
Amir
A
Mehdizade
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000601:surgery