Background: Adenocarcinoma of the prostate is often considered an elderly disease, which shifts the attention from early-onset prostate cancer, affecting those who are younger than 55 years of age. We will be reporting a case of young age metastatic adenocarcinoma of the prostate to shed light on the importance of an early diagnosis and subsequent prognosis. Case Presentation: A previously healthy 36-year-old policeman presented with lower urinary tract symptoms, especially afebrile dysuria for a few weeks upon clinical presentation, worsening in the next few months.
On admission, prostate specific antigen was elevated at 7000 ug/nL and a pelvic MRI revealed a tumoral process infiltrating the entire prostate gland and its capsule, invading the left seminal vesicle and bladder floor, reaching the rectum, with bilateral pelvic adenopathies, and secondary bone lesions. The patient was…