Metastatic esophageal adenocarcinoma to the prostate presenting with bilateral ureteral obstruction.
Carcinoma metastatic to the prostate occurs rarely and is most commonly associated with malignant bladder neoplasms. We present the case of a 73-year-old male with a history of gastroesophageal adenocarcinoma and clinically symptomatic benign prostatic hyperplasia who underwent photoselective vaporization of the prostate and presented several months later with gross hematuria, intermittent urinary retention and bilateral ureteral obstruction causing acute renal failure. After relieving the ureteral obstruction, subsequent transurethral resection of the prostate revealed locally invasive metastatic esophageal adenocarcinoma. To our knowledge, this is the first reported case of metastatic gastroesophageal carcinoma to the prostate.
Department of Urology, New York University School of Medicine, New York, New York, USA.
Evan S
ES
Marlin
Elias S
ES
Hyams
Lori
L
Dulabon
Ojas
O
Shah
D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary*; D000368:Aged; D003937:Diagnosis, Differential; D004938:Esophageal Neoplasms / Q000473:pathology*; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D011470:Prostatic Hyperplasia / Q000175:diagnosis / Q000601:surgery; D011471:Prostatic Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D014517:Ureteral Obstruction / Q000209:etiology*