case_images: PMC9755551_01
case_images: magnetic resonance imaging of the pelvis showing prostatic lesions (arrows) with expansion towards the two seminal vesicles (A); the lower and right lateral wall of the bladder, the rectal wall and the levator ani muscles, the rectal wall, the peri-prostatic bladder fat (B)
case_images: PAMJ-43-56-g001.jpg
case_images: PMC9755551_01_PAMJ-43-56-g001.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) was requested immediately, showing a voluminous prostatic tumor process measuring 429mL, locoregional extension towards the seminal vesicles, the mesorectum, the rectum, the levator ani muscles, the rectus muscle, and the pubic bone, with several bilateral internal iliac nodes and some bone lesions in the left iliopubic bone and coccyx (Figure 1, Figure 2).
case_images: magnetic resonance imaging of the pelvis showing the lesion invading the pubic bone, the right lateral pelvic wall, and the pre-muscular subcutaneous fat (arrows)
case_images: PAMJ-43-56-g002.jpg
case_images: PMC9755551_01_PAMJ-43-56-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) was requested immediately, showing a voluminous prostatic tumor process measuring 429mL, locoregional extension towards the seminal vesicles, the mesorectum, the rectum, the levator ani muscles, the rectus muscle, and the pubic bone, with several bilateral internal iliac nodes and some bone lesions in the left iliopubic bone and coccyx (Figure 1, Figure 2).
case_images: magnetic resonance imaging showing metastatic hepatic lesion 26mm in the IV segment (arrow)
case_images: PAMJ-43-56-g003.jpg
case_images: PMC9755551_01_PAMJ-43-56-g003.jpg
case_images: F3
case_images: Numerous metastatic hepatic lesions (Figure 3) and pulmonary nodules (Figure 4) were noted too.
case_images: magnetic resonance imaging of the thorax showing multiple pulmonary metastatic lesions; (A) right lobe; (B) left lobe (arrows)
case_images: PAMJ-43-56-g004.jpg
case_images: PMC9755551_01_PAMJ-43-56-g004.jpg
case_images: F4
case_images: Numerous metastatic hepatic lesions (Figure 3) and pulmonary nodules (Figure 4) were noted too.
case_images: microphotography x20 - haematoxylin eosin - showing; (A) a pleomorphic spindle cell proliferation; immunohistochemical expression showing; (B) H-caldesmon; (C) SMA (smooth muscle actin)
case_images: PAMJ-43-56-g005.jpg
case_images: PMC9755551_01_PAMJ-43-56-g005.jpg
case_images: F5
case_images: Immunohistochemical analysis demonstrated positive expression of H-caldesmon and smooth muscle actin (SMA) consistent with a high-grade leiomyosarcoma (Figure 5).