case_images: PMC4377451_01
case_images: Gross image of cutaneous metastasis and histology of shave biopsy, strongly positive throughout the cytoplasm for PSAP.
case_images: CRIU2015-825175.001.jpg
case_images: PMC4377451_01_CRIU2015-825175.001.jpg
case_images: fig1
case_images: A 93-year-old man presented with gross hematuria and a red, translucent papule on his proximal right lower leg (Figure 1). Tissue obtained via shave biopsy was weakly positive at the luminal zones for PSA and strongly positive throughout the cytoplasm for PSAP, which proved the lesions to be metastatic prostate adenocarcinoma (Figure 1).
case_images: Biopsies of corpus cavernosum (a) and bladder neck mass (b), both demonstrating poorly differentiated prostatic adenocarcinoma.
case_images: CRIU2015-825175.002.jpg
case_images: PMC4377451_01_CRIU2015-825175.002.jpg
case_images: fig2
case_images: During cystoscopic evaluation of the patient's gross hematuria, a friable bladder neck mass was resected with loop electrocautery, and penile corporal tissue was also biopsied:both of which showed poorly differentiated prostatic adenocarcinoma (Figure 2).