An 84-year-old male with type 2 diabetes mellitus, monoclonal gammopathy of uncertain significance, CRF of unrelated etiology, on hemodialysis for six months, diagnosed with adenocarcinoma due to hormone treatment with multiple blastoid metastases on hemodialysis (with onset).
The patient presented progressive asthenia and general deterioration.
A cholestatic pattern was detected in laboratory tests with 3.96 mg/dl (precurso de direct), GGT 490 U/l, alkaline phosphatase and alkaline phosphatase 581 U/l normal.
He had normal tumor markers, including PSA, and negative viral serology (HBV and HCV).
CT scan showed no intrahepatic lesions, no bile duct dilatation, no abdominal or pelvic lymph nodes, and images of known blastic bone metastases were observed.
Due to the general and progressive deterioration of the patient, it was decided not to perform more aggressive measures, but also exitus during the same hospitalization.
