case_images: PMC10834618_01
case_images: S-22-9401: prostate core showing adenocarcinoma, Gleason score 5 + 5 = 10 (grade group 5).
case_images: fonc-13-1284688-g001.jpg
case_images: PMC10834618_01_fonc-13-1284688-g001.jpg
case_images: f1
case_images: PSA values, a transrectal ultrasound-guided biopsy was performed. Pathology returned as Gleason 5 + 5 = 10 in 1/12 cores (70% of core), 5 + 4 = 9 in 9/12 cores (up to 100% of core), and 4 + 5 = 9 in 2/12 cores (up to 95% of core) ( Figures 1 - 3 ).
case_images: S-22-12486-2: peritoneal biopsy with metastatic adenocarcinoma, identical to the prostatic tumor.
case_images: fonc-13-1284688-g002.jpg
case_images: PMC10834618_01_fonc-13-1284688-g002.jpg
case_images: f2
case_images: PSA values, a transrectal ultrasound-guided biopsy was performed. Pathology returned as Gleason 5 + 5 = 10 in 1/12 cores (70% of core), 5 + 4 = 9 in 9/12 cores (up to 100% of core), and 4 + 5 = 9 in 2/12 cores (up to 95% of core) ( Figures 1 - 3 ).
case_images: S-22-12486-3: peritoneal biopsy with tumor cells positive for NKX3.1 immunostain, confirming prostatic origin.
case_images: fonc-13-1284688-g003.jpg
case_images: PMC10834618_01_fonc-13-1284688-g003.jpg
case_images: f3
case_images: PSA values, a transrectal ultrasound-guided biopsy was performed. Pathology returned as Gleason 5 + 5 = 10 in 1/12 cores (70% of core), 5 + 4 = 9 in 9/12 cores (up to 100% of core), and 4 + 5 = 9 in 2/12 cores (up to 95% of core) ( Figures 1 - 3 ).
case_images: Numerous punctate white tumor deposits (indicated by arrows) on the peritoneum and epiploicae of the sigmoid colon.
case_images: fonc-13-1284688-g004.jpg
case_images: PMC10834618_01_fonc-13-1284688-g004.jpg
case_images: f4
case_images: Upon robotic visual evaluation, the patient was found to have numerous punctate white plaques on the peritoneum and epiploicae of the sigmoid colon ( Figure 4 ).
case_images: Diagnostic and therapeutic course.
case_images: fonc-13-1284688-g005.jpg
case_images: PMC10834618_01_fonc-13-1284688-g005.jpg
case_images: f5
case_images: Figure 5 . From his perspective, the initial diagnostic tests performed while having fluctuations in his PSA caused some worry, dissatisfaction, and concern.