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Prostate carcinoma

Case contributed by Yu-Ming Tang
Diagnosis certain

Presentation

Increased PSA. TRUS biopsy showed prostatitis only.

Patient Data

Age: 60 years
Gender: Male

Multiparametric MRI prostate

mri

Focal suspicious lesion at the anterior transition zone (mid gland to base).

On T2W, the lesion is hypointense, with a lentiform shape and ill-defined margins. It shows the "erased charcoal sign".  

On DWI, there is restricted diffusion with a low ADC value of 600.

On the dynamic contrast enhanced scans, the lesion demonstrated a Type 3 curve.  

The overall PI-RADS score is 5.

Case Discussion

A targeted biopsy of the left anterior transition zone (TZ) lesion, confirmed a Gleason 4+3 = 7, carcinoma of the prostate gland. 

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