title: Prostate cancer with metastasis to the omentum and massive ascites: a rare manifestation of a common disease.
abstract: BACKGROUND
  The most common sites of metastasis in prostate cancer include bone and regional lymph nodes followed by lung, liver, and brain. Peritoneal metastasis without skeletal involvement is extremely rare.
  
  
  METHODS
  We present herein a patient with hormone refractory prostate cancer with peritoneal metastasis accompanied by ascites but without bone metastasis. The patient initially experienced an excellent response to docetaxel-based chemotherapy.
  
  
  CONCLUSIONS
  Prostate cancer can present with distant metastasis in unexpected sites. The lack of skeletal involvement does not exclude the possibility of distant metastases. The presence of ascites may indicate peritoneal disease which could be responsive to current standard chemotherapy.
authors.affiliation: Department of Clinical Therapeutics, Athens University, School of Medicine, Athens, Greece.
authors.forename: Flora
authors.initials: F
authors.lastname: Zagouri
authors.forename: Maria
authors.initials: M
authors.lastname: Papaefthimiou
authors.forename: Athanasios N
authors.initials: AN
authors.lastname: Chalazonitis
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Antoniou
authors.forename: Meletios-Athanasios
authors.initials: MA
authors.lastname: Dimopoulos
authors.forename: Aristotle
authors.initials: A
authors.lastname: Bamias
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000556:secondary*; D000368:Aged; D001201:Ascites / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009852:Omentum / Q000473:pathology*; D010534:Peritoneal Neoplasms / Q000556:secondary*; D011471:Prostatic Neoplasms / Q000473:pathology*; D035583:Rare Diseases / Q000175:diagnosis*