Ductal prostatic adenocarcinoma: magnetic resonance imaging documenting the effect of hormone-radiotherapy.
A 74 years male with hematuria, mass on digital rectal examination, and elevated prostate specific antigen levels (26 ng/ml) underwent prostate MRI. Imaging demonstrated a prostate mass which contained multiple cystic and solid areas. Subsequent biopsy revealed ductal prostate adenocarcinoma with a Gleason grade of 5 + 4 (9). MRI suggested rectal wall invasion, which was confirmed on rectal biopsy. The patient underwent external beam radiotherapy and concomitant hormonal therapy. A follow-up MRI revealed marked response of the tumour to therapy. Based on these findings, a definitive prostatectomy and pelvic exoneration was performed, with excellent surgical result.
Department of Radiology and Radiological Science, Medical University of South Carolina, 169 Ashley Avenue, Charleston, SC-29425, USA.
Andrew D
AD
Hardie
Department of Radiology, Sheikh Zayed Medical College / Sheikh Zayed Hospital, Rahimyar Khan.
Muhammed A
MA
Naveed
Department of Urology, Medical University of South Carolina, 169 Ashley Avenue, Charleston, SC-29425, USA.
Harry S
HS
Clarke
D000230:Adenocarcinoma / Q000473:pathology* / Q000628:therapy; D000368:Aged; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D001706:Biopsy; D044584:Carcinoma, Ductal / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D060787:Neoplasm Grading; D017430:Prostate-Specific Antigen; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000473:pathology* / Q000628:therapy; D011878:Radiotherapy; D016896:Treatment Outcome
D018931:Antineoplastic Agents, Hormonal; D017430:Prostate-Specific Antigen