Locally Confined Primary Signet Ring Cell Carcinoma of the Prostate with Immunohistochemical Analysis.

ABSTRACT

A case of locally confined primary signet ring cell carcinoma of the prostate in an 85 years old male with complaints of retention of urine, dysuria and frequent nocturia is reported. On per rectal digital examination, hard nodular prostate of grade 3 enlargement was palpated. Serum prostate specific antigen (PSA) level was 33.7ng/ ml. Chest x-ray and computed tomography of the pelvis was negative for metastatic disease. Hematological and biochemical investigations were within normal limits. Transurethral prostatic biopsy was done and histopathology revealed the diagnosis of poorly differentiated adenocarcinoma. Transurethral resection of prostate (TURP) with bilateral orchidectomy along with radiotherapy was selected as modality of treatment. After histopathological examination of TURP specimen with Haematoxylin and Eosin (H & E) and Periodic acid Schiff (PAS) stain, a diagnosis of primary signet ring cell carcinoma of prostate was given which was confirmed by immunohistochemical analysis.