Perirenal fat metastasis of prostate cancer

Teppei Wakita; Kazuaki Yamanaka; Akihiro Yoshimura; Shota Fukae; Takahiro Yoshida; Hidefumi Kishikawa

doi:10.1016/j.eucr.2021.101778

Perirenal fat metastasis of prostate cancer

Urol Case Rep. 2021 Jul 13:39:101778. doi: 10.1016/j.eucr.2021.101778. eCollection 2021 Nov.

Authors

Teppei Wakita¹, Kazuaki Yamanaka¹, Akihiro Yoshimura¹, Shota Fukae¹, Takahiro Yoshida¹, Hidefumi Kishikawa¹

Affiliation

¹ Department of Urology, Hyogo Prefectural Nishinomiya Hospital, 13-9 Rokutanji-cho, Nishinomiya City, Hyogo, 662-0918, Japan.

Abstract

A 72-year-old male underwent an abdominal CT scan, which revealed a 17-mm nodular incidentaloma in fat tissue in the left perirenal space. Retroperitoneoscopic surgery was performed to remove the tumor and histopathological results revealed a PSA-positive adenocarcinoma, which was diagnosed as a metastatic lesion associated with prostate cancer. PSA was high at 30.083 ng/ml and MRI findings showed extracapsular extension of prostate cancer in the left peripheral zone of the prostate gland. Biopsy results with a Gleason score of 4 + 4 confirmed the diagnosis of prostate cancer. The case was diagnosed as prostate cancer metastasis in perirenal fat tissue.

Keywords: Metastasis; Perirenal fat; Prostate cancer.

Publication types

Case Reports