Case Report: Prostate adenocarcinoma presented with inguinal lymph node metastasis

Abstract

Prostate cancer has the highest chance of spreading to the bones. After pelvic and bone involvement, pulmonary metastases and extensive lymphadenopathy are expected consequences. Some men with prostate cancer develop symptomatic metastatic lung lesions and lymphadenopathy despite the absence of other signs of distant spread. Prostate cancer is exceedingly common and the leading cause of cancer in males. Prostate cancer patients with metastases account for half of all cases. In some cases, it occurs in the peritoneum but can also invade the surrounding structures, the bladder, seminal vesicles, and urinary sphincters. For example, we report the case of a 62-year-old man who presented to our hospital with inguinal swelling as his primary symptom. The patient has a history of constipation, burning micturition, and weight loss. The patient was advised of ultrasonography (U.S.G.) abdominonopelvic, which revealed enlarged, irregular, heterogeneous prostate and cystitis and multiple hepatic metastases. Also, there was a lobulated mass lesion in the inguinal canal.  The most common spread occurs in bone and lymph nodes. It's uncommon to witness inguinal lymph node metastasis without pelvic lymphadenopathy or other metastasis. The spread occurs usually through a hematogenous, lymphatic, or direct route. Hence this one is a rare presentation. One possible explanation might be abnormal or aberrant lymphatic drainage of the prostate to the inguinal lymph node.