A large, benign prostatic cyst presented with an extremely high serum prostate-specific antigen level

BMJ Case Rep. 2016 Jan 8:2016:bcr2015213381. doi: 10.1136/bcr-2015-213381.

Abstract

We report a case of a patient who presented with an extremely high serum prostate specific antigen (PSA) level and underwent radical prostatectomy for presumed prostate cancer. Surprisingly, the whole mount prostatectomy specimen showed only small volume, organ-confined prostate adenocarcinoma and a large, benign intraprostatic cyst, which was thought to be responsible for the PSA elevation.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology
  • Cysts / blood*
  • Cysts / pathology
  • Cysts / surgery
  • Diagnosis, Differential
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Prostate / pathology
  • Prostate-Specific Antigen / blood*
  • Prostatectomy
  • Prostatic Neoplasms / blood*
  • Prostatic Neoplasms / pathology
  • Tomography, X-Ray Computed

Substances

  • Prostate-Specific Antigen