150 Prostate Carcinoma with Extracapsular and Seminal Vesicle Extension

CASE 150


Clinical Presentation


A 65-year-old man with an elevated prostate-specific antigen (PSA) level complains of hesitancy in urination.




image

Fig. 150.1 (A) Axial T2-weighted endorectal image of the prostate shows a low signal intensity tumor (arrow) on the right. Note the nodular extracapsular extension (curved arrow). (B) Sagittal T2-weighted endorectal image of the prostate shows extension of a low signal intensity tumor (arrow) into the right seminal vesicle.


Radiologic Findings


T2-weighted endorectal magnetic resonance (MR) images show a loss of normal high signal in the right peripheral zone of the prostate gland, with T2 dark signal extending into the right seminal vesicle (Fig. 150.1).


Diagnosis


Prostate carcinoma with extracapsular and seminal vesicle extension


Differential Diagnosis



  • Benign prostatic hyperplasia
  • Granulomatous prostatitis

Discussion

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Dec 26, 2015 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on 150 Prostate Carcinoma with Extracapsular and Seminal Vesicle Extension

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