Introduction:
Giant prostatic adenocarcinoma represents a rare and challenging treatment dilemma.
Case presentation:
We describe a case of an otherwise healthy 71-year-old African male who presented with a PSA of 5800 ng/ml and a prostate volume of over 1000cc. Unique aspects of this case include the size of the prostate, the apparent absence of distant metastases, and the safe usage of transabdominal biopsy of this mass.
Conclusion:
We present this case report and review of literature to generate further discussion amongst readers as to management options for this difficult case.