A 57-year old man was found on routine screening to have a serum prostate specific antigen (PSA) level
of 4.1 ng/mL, and was referred for evaluation. He had bilateral induration at the
base of the prostate. A transrectal ultrasonography and prostate needle biopsy were
performed based on the elevated PSA. The ultrasonography revealed no abnormalities,
but 3 of 10 core biopsies obtained under ultrasonographic guidance revealed prostatic
adenocarcinoma. There were 2 positive biopsies on the left and 1 on the right; the
Gleason score in each core was 3 + 3. The patient had a history of laparoscopic bilateral hernia repair with the use
of mesh approximately 6 months before his referral. His past medical history was otherwise
significant only for hypertension.
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References
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- Cancer statistics.CA Cancer J Clin. 2003; 53: 5-26
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- Bilateral laparoscopic inguinal hernia repair can complicate subsequent radical retropubic prostatectomy.J Urol. 2002; 167: 637-638
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Article info
Publication history
Accepted:
October 17,
2003
San Francisco, CalifIdentification
Copyright
© 2004 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
