TITLE:
A Shoulder Mass Revealing a Metastatic Prostate Cancer
AUTHORS:
Kanta Ka, Mohamed Jalloh, Babacar Sine, Oumar Gaye, Awa Sadikh Badiane, Ibrahima Thiam, Mamadou Moustapha Dieng, Papa Macoumba Gaye
KEYWORDS:
Shoulder, Prostate, Cancer, Metastasis
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.10 No.4,
April
27,
2021
ABSTRACT: Introduction: A shoulder mass revealing metastatic prostate cancer is very rare. We report a case of metastatic prostate cancer diagnosed on a shoulder mass and treated with analgesic radiotherapy and chemotherapy and androgen deprivation therapy (ADT). Observations: A 66 years old patient was referred for a painful right shoulder mass whose biopsy and pathological examination found a Gleason 8 (4 + 4) moderately differentiated adenocarcinoma. The PSA level was 508.52 ng/ml. The patient was treated with analgesic radiotherapy on the right shoulder and chemo-hormonal therapy. At 2 years follow-up, the disease was well controlled. Conclusion: A shoulder mass revealing metastatic prostate cancer is not common. Local treatment of the symptomatic metastasis while continuing chemotherapy and ADT improves the quality of life.