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Case Report
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| Prostatic ductal adenocarcinoma presenting with hemospermia | ||||||
| Tafadzwa P Makarawo1, Jeffrey L O'Connor1 | ||||||
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1Providence Hospital and Medical Centers, 16001 West Nine Mile, Rd, Southfield, MI.
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| How to cite this article: |
| Makarawo TP, O’Connor JL. Prostatic ductal adenocarcinoma presenting with hemospermia. International Journal of Case Reports and Images 2013;4(11):682–685. |
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Abstract
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Introduction:
Ductal (endometrioid) adenocarcinoma is a rare form of prostate cancer that most often presents with local obstructive or irritative symptoms such as acute urinary obstruction and hematuria, often in the presence of a normal prostate specific antigen (PSA) value. Hemospermia is a symptom rarely associated with prostate malignancy. Therefore, this was not investigated extensively in the past, requiring only patient reassurance and empiric antibiotic treatment.
Case Report: A 56-year-old male presented with complaints of hemospermia. His physical examination was unremarkable and serum PSA was within normal limits. He was, therefore, reassured and given a course of antibiotics. However, due to persistent hemospermia symptoms, he underwent a flexible cystoscopy which identified a polypoid lesion within the verumontanum of the prostatic urethra, which upon resection was found to be prostatic ductal adenocarcinoma. Following an initial period of surveillance, the patient underwent a radical prostatectomy from which he made an uneventful recovery and remained disease-free up to the last follow-up six months before. Conclusion: Hemospermia is a symptom largely considered to be benign but in some patients it should motivate thorough clinical evaluation for ductal prostatic adenocarcinoma. | |
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Keywords:
Ductal adenocarcinoma, Endometrioid, Hemospermia, Prostate
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Author Contributions
Tafadzwa Makarawo – Substantial contributions to conception and design, Acquisition of data Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Jeffrey O’Connor – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Tafadzwa Makarawo et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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