title: [Prostate cancer in a young adult : a case report].
abstract: We report a case of prostate cancer in a 41-year-old male. The patient initially visited another institution with a chief complaint of left breech pain. He was referred to our hospital for further investigation. Serum level of PSA was 267ng/ml and multiple bone metastases were found on bone scintigram. Digital rectal examination revealed a stony-hard prostate. Computed tomography showed multiple lung and lymph node metastases. Transperineal needle biopsy of the prostate revealed moderately differentiated adenocarcinoma (Gleason score 4＋5) frombilateral lobes (the 3th Edition). The patient was diagnosed with cT4N1M1c prostate cancer and maximal androgen blockade therapy was commenced.
authors.affiliation: The Department of Urology, Kinki University School of Medicine, Japan.
authors.forename: Muneo
authors.initials: M
authors.lastname: Yasuda
authors.forename: Naoki
authors.initials: N
authors.lastname: Matsumura
authors.forename: Yasuto
authors.initials: Y
authors.lastname: Okuda
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Shimizu
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Takahumi
authors.initials: T
authors.lastname: Minami
authors.forename: Taiji
authors.initials: T
authors.lastname: Hayashi
authors.forename: Hidenori
authors.initials: H
authors.lastname: Tsuji
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nozawa
authors.forename: Tokumi
authors.initials: T
authors.lastname: Ishii
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yoshimura
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Uemura
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis*; D000328:Adult; D006801:Humans; D008297:Male; D011471:Prostatic Neoplasms / Q000175:diagnosis*