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Solitary metastasis of occult prostatic carcinoma simulating osteogenic sarcoma
Author(s) -
Legier J. F.,
Tauber L. N.
Publication year - 1968
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(196807)22:1<168::aid-cncr2820220120>3.0.co;2-4
Subject(s) - medicine , occult , metastasis , sarcoma , prostate cancer , pelvis , carcinoma , cancer , pathology , sacrum , radiology , anatomy , alternative medicine
In the eighth decade of life cancer of the prostate is the leading cause of cancer death in men. 16 In over 70% of autopsied cases, metastases have involved soft tissues and bones, in particular the pelvis, sacrum and lower vertebral column. 4 The roentgenographic appearance is purely osteoblastic in over 78% of the cases 8 and by its multiplicity, location and clinical background usually poses no diagnostic problem. Occasionally, a solitary metastasis in an unusual bone site is the sole manifestation of prostatic carcinoma and precedes the urologic symptoms by as much as two years. 14 Exceptionally, a remotely located solitary metastasis of a clinically occult prostatic cancer may mimic a primary osteogenic sarcoma by the radiological appearance of sunburst calcification, as was the case in the present report.