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Summary
This summary is machine-generated.

A 70-year-old man presented with urinary obstruction and constipation. Prostate-specific antigen levels were elevated, and a digital rectal exam revealed a mass, prompting a prostate MRI for cancer evaluation.

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Area of Science:

  • Urology
  • Oncology
  • Radiology

Background:

  • A 70-year-old male experienced 2 years of chronic obstructive urinary symptoms and constipation.
  • Initial tests showed an elevated prostate-specific antigen (PSA) level of 21.7 ng/mL.
  • Urinalysis was negative, and the patient denied infectious symptoms or family history of prostate cancer.

Purpose of the Study:

  • To evaluate a patient with chronic obstructive urinary symptoms and elevated PSA for possible prostate cancer.
  • To investigate the cause of a palpable enlarged prostate and a hard, multilobulated mass.

Main Methods:

  • Patient presented with a 2-year history of urinary obstruction and constipation.
  • Serum prostate-specific antigen (PSA) level was significantly elevated (21.7 ng/mL).
  • Physical examination revealed an enlarged prostate with a palpable, hard, multilobulated mass; prostate MRI was performed.

Main Results:

  • The patient exhibited chronic obstructive urinary symptoms and constipation.
  • Elevated serum PSA levels indicated a potential issue with the prostate.
  • Digital rectal examination confirmed an enlarged prostate with a palpable mass, necessitating further imaging.

Conclusions:

  • The clinical presentation and elevated PSA necessitated a comprehensive evaluation for prostate cancer.
  • Prostate MRI was utilized to further investigate the findings from the physical examination.