Oncol Case Rep J | Volume 3, Issue 1 | Case Report | Open Access

Metastatic Adenocarcinoma of Prostate in a 36-Year-Old Mediterranean Man

Joey Elkhoury^1,2, Maher Abdessater^1,2*, Anthony Kanbar^1,2, Halim AKL^1,2, Charbel El Hachem^1,2, Rami Halabi^1,2, Leony Antoun^1,2, Fadi NASR^1,2, Johnny Boustany^1,2 and Raghid El Khoury^1,2

¹Department of Oncology, Notre Dame Des Secours University Medical Center, Lebanon
²Department of Oncology, Holy Spirit University of Kaslik, Lebanon

^*Correspondance to: Maher Abdessater 

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Abstract

Background: Adenocarcinoma of the prostate is often considered an elderly disease, which shifts the attention from early-onset prostate cancer, affecting those who are younger than 55 years of age. We will be reporting a case of young age metastatic adenocarcinoma of the prostate to shed light on the importance of an early diagnosis and subsequent prognosis.
Case Presentation: A previously healthy 36-year-old policeman presented with lower urinary tract symptoms, especially afebrile dysuria for a few weeks upon clinical presentation, worsening in the next few months. On admission, prostate specific antigen was elevated at 7000 ug/nL and a pelvic MRI revealed a tumoral process infiltrating the entire prostate gland and its capsule, invading the left seminal vesicle and bladder floor, reaching the rectum, with bilateral pelvic adenopathies, and secondary bone lesions. The patient was found to have a positive BRCA1 gene. Conclusion: The incidence of early-onset prostate cancer is increasing and should be considered as a real threat to young men. It should be differentiated from its late-onset counterpart, being more aggressive if diagnosed at an advanced stage. A clear, effective and adequate screening strategy tailored for early-onset advanced prostate cancer is an interesting subject of research for the years to come.

Keywords:

Early-onset prostate cancer; Young male; Screening strategy; PSA; PLAP

Citation:

Elkhoury J, Abdessater M, Kanbar A, Halim AKL, El Hachem C, Halabi R, et al. Metastatic Adenocarcinoma of Prostate in a 36-Year-Old Mediterranean Man. Oncol Case Report J. 2020;3(1):1016..