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Updated: Aug 20, 2025

A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
Published on: March 21, 2025
Visual loss as the initial manifestation of an ignored disseminated prostate cancer: A case report
Alejandra B Miranda1, Carla D Guantay1, Evangelina Espósito1
1Department of Ophthalmology, University Clinic Reina Fabiola, Universidad Católica de Córdoba, Jacinto Ríos 554, piso 7, Córdoba, 5000, Argentina.
Purpose:
To present a rare case of advanced disseminated prostate cancer with bilateral visual loss as the initial manifestation of the disease.
Observations:
A 55-year-old man referring progressive visual blurring for the last 6 months and painless severe bilateral visual loss in the last 7 days prior to our consultation, associated with a bilateral optic disc swelling and leptomeningeal metastases from a previously ignored prostate carcinoma is presented. Rapid improvement of visual acuity and involution of leptomeningeal metastasis was observed after initiation of the specific oncologic treatment.
Conclusions And Importance:
Bilateral visual loss may be the initial manifestation of leptomeningeal carcinomatosis from an ignored prostate cancer. Prompt diagnosis is crucial in order to improve the quality of life of a critically ill patient with a disseminated prostate cancer.
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