title: Pulmonary embolus as a first presentation of occult metastatic prostate cancer.
abstract: A 65-year-old gentleman with a previous history of pulmonary embolus presented with a subacute onset of shortness of breath, haemoptysis and chest pain associated with a swollen left leg. Ultrasound Doppler scanning of the leg revealed no deep-vein thrombosis. Thereafter, a CT scan of the pulmonary vasculature revealed a large right-sided pulmonary embolus. CT scanning of the abdomen and pelvis was performed to look for evidence of an intra-abdominal source of thrombus and revealed evidence of a moderate sized pelvic mass causing obstructive uropathy. Urological review of the patient revealed a hard prostate and raised prostate specific antigen, consistent with a diagnosis of primary prostatic carcinoma, which after investigation with a radioisotope bone scan was found to have metastasised to the bony pelvis.
authors.affiliation: Urology Department, Basildon & Thurrock University Hospital, Basildon, UK. suj.mukherjee@gmail.com
authors.forename: S K
authors.initials: SK
authors.lastname: Mukherjee
authors.forename: A
authors.initials: A
authors.lastname: Panthagani
authors.forename: N
authors.initials: N
authors.lastname: Ramroop
authors.forename: S
authors.initials: S
authors.lastname: Al-Dujaily
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications; D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy; D002277:Carcinoma / Q000150:complications / Q000188:drug therapy / Q000556:secondary*; D006801:Humans; D006869:Hydronephrosis / Q000150:complications / Q000000981:diagnostic imaging; D008297:Male; D010384:Pelvic Bones / Q000000981:diagnostic imaging; D011471:Prostatic Neoplasms / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D011655:Pulmonary Embolism / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D011859:Radiography; D011877:Radionuclide Imaging
chemical_list: D000925:Anticoagulants; D018931:Antineoplastic Agents, Hormonal