PMC3615993_01
Chest X-ray of the patient at the time of admission.
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X-ray showed multiple metastatic lesions on both sides (Figure 1). X-ray of the pelvis and spine was suggestive of metastatic deposits.
Microphotograph of the prostate specimen showing PSA marker positivity.
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The prostatic biopsy reported moderately differentiated adenocarcinoma (Gleason score 4+4=8) (Figure 2).
Microphotograph of the immunohistochemistry showing the PSA positivity in the cervical lymph node specimen.
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Fine-needle aspiration cytology of the cervical lymph node demonstrated adenocarcinoma deposits (Figure 3).
Chest X-ray after 6 months of therapy.
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At 6-month follow-up, the chest X-ray was normal (Figure 4) and there was significant regression in size of cervical lymph nodes.