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ISSN 2305-7939 (Electronic)

2019, Number 1

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RCU 2019; 8 (1)

Giant Virchow node as initial presentation of a prostate adenocarcinoma

Bustamante SN, Bustamante SN, Ordaz FY, Lebohang LR

Language: Spanish
References: 24
Page: 34-40
PDF size: 695.62 Kb.


ABSTRACT

Clinical Case: A 76-year-old male came to us with a left supraclavicular giant adenopathy, prostate-specific antigen of 5 000 ng/ml, with no other clinical manifestations. Upon examination of the nodule, it was painless, hard and fixed. The prostate was stony and nodular. The lymph node biopsies showed metastasis of a prostate adenocarcinoma, the prostate adenocarcinoma poorly differentiated, Gleason 7. Adenopathies were observed para-aortic metastases in the imaging tests. We performed total androgen blockade, verifying a considerable decrease in his left supraclavicular adenopathy and his prostate specific antigen at 4 months. We share our experience in the management of this uncommon clinical presentation of prostate cancer. Conclusions: The debut of prostatic cancer as a giant left supraclavicular adenopathy is very rare. Total androgenic ablation favors the initial evolution of these cases.


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