PMC3921775_01
A. (left), Histopathological examination shows moderately differentiated adenocarcinoma (Gleason score 3 + 4 = 7) (H & E staining, x200). B. (right), The biopsy of the swollen inguinal lymph node shows adenocarcinoma. The tumor cell cytoplasm shows vacuolar degeneration (H & E staining, x200).
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The pathological finding was a moderately differentiated adenocarcinoma (Gleason score 3 + 4 = 7) (Fig. 1A). Pathological findings revealed metastatic prostate cancer (Fig. 1B).
A. (top), A CT scan shows the swollen left inguinal lymph nodes with maximum size of 2cm in diameter. B. (bottom), The maximum size of the lymph nodes decreased to 8 mm in diameter due to secondary hormonal therapy.
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Twenty-one months after the biochemical recurrence, the PSA level increased to 10.4 ng/mL and a CT scan showed left inguinal lymphadenopathy (Fig. 2A). The size of the lymph node decreased to 8 mm in diameter, and no other metastatic lesions were found (Fig. 2B).