A 66 year-old male patient with weight loss and asthenia. Some 15-30 mm metastasized necrotic periaortic lymph nodes and prostate hypertrophy are noted on abdominal ultrasound. Chest X-ray is normal and abdominal MSCT confirmes retroperitoneal lymph nodes and prostate tumor. PSA value is 1.38 ng/mL but with microscopic blood urine that transfers him to Medic Center for a prostate biopsy.
By via TRUS it exists a #55x43x62 mm big prostate, loss its capsule and distorsion of prostatic structure. The prostate tumor is noted having of many hard sites on shear wave ultrasound elastography.
Performed 12 specimen prostate biopsy and 16 items histoimmunopathologic report concludes a non- specialized mesenchymal cell of prostate tumor (PCa) on a chronic TB inflamed based structure.
This is a rare PCa malignant mesenchymal cell of prostate tumor may happen on 1/1000 cases. The patient is waiting for an appropriate management due to his advanced status of the tumoral progress.
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