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[Rectal hemorrhage as the first manifestation of prostatic carcinoma]
L A Asensio Lahoz1, J Abaitua Bilbao, C M Palazuelos
1Servicio de Urología y Cirugía General, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
Objectives:
An uncommon case of prostatic carcinoma presenting as rectal hemorrhage is described. The diagnostic and therapeutic aspects are discussed and the importance of distinguishing this condition from rectal carcinoma is underscored.
Methods/Results:
The clinical features of a patient with invasive prostatic carcinoma presenting as rectal hemorrhage are described.
Conclusions:
Rectal involvement by invasive prostatic carcinoma should be suspected in patients consulting for a rectal pathology, particularly if the patient has a previous history of prostatism or carcinoma of the prostate. The incidence of rectal involvement by prostatic carcinoma has been reported to range from 1 to 11%.