Author/Authors :
kapatia, g. post graduate institute of medical education research - departments of pathology, Chandigarh, India , attri, v.s. post graduate institute of medical education research - department of urology, Chandigarh, India , mete, u.k. post graduate institute of medical education research - department of urology, Chandigarh, India , rastogi, p. post graduate institute of medical education research - department of histopathology, Chandigarh, India
Abstract :
Introduction: Prostate cancer is one of the commonest, malignancies affecting elderly males. Prostatic basal cell carcinoma, (PBCC) accounts for less than 0.01% of all prostate cancers. Observation: A 32-year-old man presented with hematuria and lower urinary tract symptoms. Clinical examination showed hard, nodular enlarged prostate with multiple penile hard nodules. His prostate-specific antigen (PSA) level was 0.91 ng/mL. Histopathological examination of the fingerguided prostate biopsy revealed a malignancy with features of basal cell carcinoma. Further imaging studies were performed and metastases were found in both lungs, penis, pelvic lymph nodes and right ischium. Conclusion: The current case highlights PBCC as a diagnostic pitfall which presented in a young adult with a normal PSA level.