A young patient with metastatic prostate adenocarcinoma: A case report and review of literature

ABSTRACT

@#Prostate cancer is extremely rare in men under 40 years old, and current guidelines recommendagainst screening in this patient population. However, recent data show poorer prognosis in youngermen with prostate cancer, especially in those with advanced stage disease. Presented and discussed isthe case of a 38-year-old Filipino male diagnosed with prostate adenocarcinoma Gleason 9 (4+5)with bone metastasis presenting with urinary retention, suspicious rectal exam findings, and a markedlyelevated PSA. The patient underwent transurethral resection of the prostate and concurrent bilateralorchiectomy. With reports of cases such as this one, biopsy might still be indicated to confirm or ruleout cancer in a younger patient with a very high suspicion of prostate cancer based on clinical andlaboratory findings. Further studies are needed to identify risk factors for development of prostatecancer in this population to achieve early diagnosis and treatment.