Prostate cancer skeletal metastases - superscan

Case contributed by Ammar Ashraf , 3 Feb 2021
Diagnosis certain
Changed by Daniel J Bell, 4 Feb 2021

Updates to Study Attributes

Findings was changed:

Extensive mixed lytic/sclerotic lesions are seen in the whole visualized skeleton. Two expansile mixed lytic-sclerotic rib lesions (right 6th &and left 8th ribs) with sunburst periosteal reaction and soft tissue component are also noted. Enlarged prostate gland showing heterogeneous enhancement. Multiple bilateral simple renal cortical cysts. Minimal ascites.

Updates to Case Attributes

Body was changed:
  • PSA: >2000ug/L (reference range ≤4.000ug/L)
  • Trans-rectaltransrectal prostate biopsy: multifocal prostatic adenocarcinoma
  • Bonebone marrow biopsy: Heavilyheavily infiltrated with tumor cells (most probably of prostate origin).
  • Basedbased on the history of multifocal prostatic adenocarcinoma with markedly elevated PSA level, diffuse bone metastases on the CT scan and bone marrow infiltration by the tumor cells on bone marrow biopsy, bone scan features are suggestive of superscan.
  • -<li>PSA: &gt;2000ug/L (reference range ≤4.000ug/L). </li>
  • -<li>Trans-rectal prostate biopsy: Multifocal <a title="Prostatic adenocarcinoma" href="/articles/prostate-cancer-3">prostatic adenocarcinoma</a>. </li>
  • -<li>Bone marrow biopsy: Heavily infiltrated with tumor cells (most probably of prostate origin).</li>
  • -<li>Based on the history of multifocal prostatic adenocarcinoma with markedly elevated PSA level, diffuse bone metastases on the CT scan and bone marrow infiltration by the tumor cells on bone marrow biopsy, bone scan features are suggestive of <a title="Superscan" href="/articles/superscan">superscan</a>.</li>
  • +<li>
  • +<a title="PSA" href="/articles/prostate-specific-antigen-1">PSA</a>: &gt;2000ug/L (reference range ≤4.000ug/L)</li>
  • +<li>transrectal prostate biopsy: multifocal <a href="/articles/prostate-cancer-3">prostatic adenocarcinoma</a>
  • +</li>
  • +<li>bone marrow biopsy: heavily infiltrated with tumor cells (most probably of prostate origin)</li>
  • +<li>based on the history of multifocal prostatic adenocarcinoma with markedly elevated PSA level, diffuse bone metastases on the CT scan and bone marrow infiltration by the tumor cells on bone marrow biopsy, bone scan features are suggestive of <a href="/articles/superscan">superscan</a>
  • +</li>

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