A 78-year old male presented with coughing and chest pain along with weight loss for the past one week. History The patient had been diagnosed with prostate cancer 20 years ago. He had undergone retropubic prostatectomy and did not require additional treatment. Investigations A. Chest radiography Evidence of multiple nodular shadows and reticular opacities B.
Computed tomography CT revealed mediastinal lymph node enlargement and obstruction of the lingular lung segment C. Bronchoscopy Shows the presence of multiple whitish masses on the surface. D. Biopsy Histopathological evaluation by direct vision biopsy showed: Sheet-like proliferation Small glandular cavity An intracytoplasmic ductal and sieve-like structure The immunohistological examination confirmed the presence of prostate-specific antigen (PSA) and negative thyroid transcription factor 1. After 14 years of prostate surgery,…
