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CASE REPORT
Year : 2020  |  Volume : 12  |  Issue : 2  |  Page : 172-175

Metastatic prostate cancer to an ischiorectal fossa lymph node identified on multiparametric magnetic resonance imaging


1 Department of Urology, University of Alabama at Birmingham, Birmingham, Alabama, USA
2 Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama, USA
3 Department of Pathology, University of Alabama at Birmingham, Birmingham, Alabama, USA
4 Department of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA
5 Department of Urology; Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama, USA

Correspondence Address:
Dr. Soroush Rais-Bahrami
Department of Urology, University of Alabama at Birmingham, Faculty Office Tower 1107, 510 20th Street South, Birmingham, Alabama 35294
USA
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DOI: 10.4103/UA.UA_31_19

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Prostate cancer is the most common noncutaneous malignancy in American men. Its lymphatic drainage is very well established throughout literature. We report the case of a 72-year-old Caucasian male with elevated serum prostate-specific antigen and biopsy-confirmed high-risk prostate cancer who underwent multiparametric magnetic resonance imaging (MRI) for staging and treatment planning. The imaging revealed suspicious lymph nodes in the left ischiorectal and right obturator fossae that were biopsy confirmed as metastatic prostate adenocarcinoma. Herein, we present the divergence from the well-established lymphatic drainage of prostate cancer and the role of MRI in detecting this prostate cancer site of spread.


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