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CASE REPORT
Year : 2018  |  Volume : 34  |  Issue : 4  |  Page : 292-294

Brachial plexopathy in carcinoma of the prostate: An uncommon presentation of a common malignancy


Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India

Correspondence Address:
C Danny Darlington
Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/iju.IJU_143_18

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Neurological presentation is rare in carcinoma prostate. Brachial plexopathy as the only manifestation of carcinoma prostate is very rare and has not been previously reported. We report an 88-year-old man who presented with new-onset paralysis of the right hand. Digital rectal examination revealed a hard, enlarged prostate and biopsy revealed adenocarcinoma of the prostate with a Gleason score of 7 (4 + 3) with perineural invasion. Computed tomography of the neck showed osteoblastic secondaries involving C6, C7, and T1 vertebrae with a paravertebral soft-tissue mass involving the right foramina of C6, C7, and T1 vertebra. The patient succumbed to the disease despite complete androgen blockade.


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