case_images: PMC2254427_01
case_images: CT scan demonstrating a 12 x 13 x 10 cm (1560 cm3) mass in the pelvis. There is significant bilateral compression of the external iliac vessels and rectum.
case_images: 1752-1947-2-28-1.jpg
case_images: PMC2254427_01_1752-1947-2-28-1.jpg
case_images: F1
case_images: A CT scan of the abdomen and pelvis demonstrated a 12 x 13 x 10 cm (1560 cm3) mass in the pelvis [Figure 1].
case_images: Bilateral mild to moderate hydroureteronephrosis was noted, and the left kidney appeared markedly atrophic.
case_images: 1752-1947-2-28-2.jpg
case_images: PMC2254427_01_1752-1947-2-28-2.jpg
case_images: F2
case_images: Bilateral mild to moderate hydroureteronephrosis was noted, and the left kidney appeared markedly atrophic [Figure 2].
case_images: Transabdominal biopsy specimen showing Gleason 4+4 = 8 disease in greater than 70% of the prostatic tissue (hematoxylin-eosin stain).
case_images: 1752-1947-2-28-3.jpg
case_images: PMC2254427_01_1752-1947-2-28-3.jpg
case_images: F3
case_images: All biopsy specimens demonstrated Gleason 4+4 = 8 disease in greater than 70% of the prostatic tissue except for one biopsy, which showed Gleason grade 3+4 = 7 in less than 15% [Figure 3].