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Prostate cancer metastasizing to the small bowel
N Malhi-Chowla1, H C Wolfsen, D Menke
1Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida 32224, USA.
Journal of Clinical Gastroenterology
|April 25, 2001
Summary
This study reports a rare case of prostate cancer metastasizing to the small bowel, a phenomenon not previously documented in medical literature. Diagnosis was confirmed via small bowel biopsy in a patient presenting with anasarca.
Area of Science:
- Oncology
- Gastroenterology
- Pathology
Background:
- Prostate cancer is a common malignancy, but small bowel metastasis is exceptionally rare.
- Literature review revealed no previously reported cases of prostate cancer metastasizing to the small bowel.
Observation:
- A 69-year-old male with a history of prostate cancer presented with anasarca and anorexia.
- Initial upper endoscopy showed normal gastric and duodenal mucosa.
- Small bowel biopsies revealed adenocarcinoma with positive prostate-specific antigen stains.
Findings:
- The patient was diagnosed with prostate cancer metastatic to the small bowel.
- This represents the first reported antemortem diagnosis of small bowel metastasis from prostate cancer.
Implications:
- This case highlights a rare presentation of metastatic prostate cancer.
- In patients with unexplained anasarca and a history of malignancy, consider upper endoscopy with small bowel biopsy for diagnosis.