title: Giant organ confined prostatic adenocarcinoma: a case report.
abstract: BACKGROUND
  Giant prostatic adenocarcinoma represents a rare and challenging treatment dilemma.
  
  
  METHODS
  We describe a case of an otherwise healthy 71-year-old African male who presented with a PSA of 5800 ng/ml and a prostate volume of over 1000cc. Unique aspects of this case include the size of the prostate, the apparent absence of distant metastases, and the safe usage of transabdominal biopsy of this mass.
  
  
  CONCLUSIONS
  We present this case report and review of literature to generate further discussion amongst readers as to management options for this difficult case.
authors.affiliation: Boston University School of Medicine, Boston, MA, USA. brahmbhattmd@gmail.com
authors.forename: Jamin V
authors.initials: JV
authors.lastname: Brahmbhatt
authors.forename: Louis S
authors.initials: LS
authors.lastname: Liou