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.
Gerst
Scott R
SR
Department of Urology, Memorial Sloan-Kettering Cancer Center in New York, NY, USA. gersts@mskcc.org
Touijer
Abdelkrim K
AK
Guillonneau
Bertrand
B
Al-Ahmadie
Hikmat
H
Mehdizade
Amir
A
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