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Metastatic prostate cancer simulating sclerosing cholangitis
Journal of Clinical Gastroenterology
|March 1, 1993
Summary
Metastatic prostate cancer can mimic primary sclerosing cholangitis. This case highlights the importance of considering prostate cancer metastases in patients with unexplained biliary strictures and jaundice.
Area of Science:
- Gastroenterology and Hepatology
- Oncology
Background:
- Prostate cancer is a common malignancy in older men.
- Sclerosing cholangitis is a chronic cholestatic liver disease characterized by biliary strictures.
Observation:
- A 71-year-old man with known prostate cancer presented with cholestatic jaundice.
- Endoscopic retrograde cholangiopancreatography revealed multifocal biliary strictures resembling sclerosing cholangitis.
Findings:
- Liver biopsy and cholecystectomy specimens confirmed prostate cancer metastases.
- Tumor cells were positive for prostate-specific antigen.
Implications:
- Metastatic prostate cancer can present as a mimic of primary sclerosing cholangitis.
- This finding expands the differential diagnosis for biliary strictures in patients with a history of prostate cancer.