![]() This work has been reported in conformity with the SCARE 2020 criteria. Here we present an unusual presentation of prostatic adenocarcinoma with axillary and supraclavicular mass as the main presentation. The combination of supraclavicular and left axillary lymph nodes in a patient may suggest carcinoma of the stomach or other abdominal malignancies. Furthermore, the causes of axillary lymphadenopathy include metastatic breast carcinoma, melanoma lymphoma leukemia, and various infections. Other causes include thoracic, abdominopelvic malignancy, lymphoma, tuberculosis, and hydatid disease. The left supraclavicular or Virchow lymph node enlargement is classically linked to carcinoma of the stomach. Metastasis to lymph nodes is commonly seen in the pelvic and abdominal groups. The symptoms of advanced prostatic cancer are variable and sometimes not recognized which may lead to delayed diagnosis hematogenous spread frequently affects the bone but can occur in the lungs, liver, pleura, and adrenals. The incidence and mortality rates are higher among African Americans than Caucasians. The risk of developing the disease is linked to factors such as age, race, and family history, with the highest incidence being in the elderly (over 55 years). And it is one of the death-leading malignancies worldwide. Prostatic cancer is the third most commonly diagnosed malignancy in males after lung and colorectal cancer with 1,414,259 new cases registered by WHO in 2020. Careful physical and imaging examinations combined with PSA and pathological analysis are essential in the diagnosis of advanced prostate cancer with unusual presentation. Conclusion: Metastatic prostatic carcinoma should be considered among the causes of supra-diaphragmatic lymph adenopathy. It can cause diagnostic difficulty since prostate cancer typically metastasis to the pelvic lymph node and very rarely involves he supradiaphragmatic lymph node. Clinical discussion: Lymphatic metastasis to axillary lymph nodes is a very rare manifestation of prostate cancer and only a few cases have been reported in the literature. The patient was treated with bilateral orchidectomy. Later, prostatic biopsy confirmed the diagnosis. During laparatomy, multiple enlarged pelvic lymphnodes were encountered and a biopsy result suggested a metastatic prostatic neoplasm. Upper and lower GI endoscopy were performed but the latter was complicated by a sigmoid perforation with peritonitis. He underwent a decisional biopsy which showed metastatic adenocarcinoma. Case Description: 82-year-old Sudanese male presented with a left axillary and left supraclavicular lymphadenopathy of a few months’ duration. Here we present a patient with prostatic cancer who presented with left axillary mass as his main concern. Usually, they present late in their disease with urinary tract obstruction, hematuria, bony pain, or cachexia because there is no screening program. General swelling of lymph nodes throughout your body.Introduction: The burden of prostatic cancer is rising in Sudan.Runny nose, sore throat, fever and other indications of an upper respiratory infection.Swelling that may be the size of a pea or kidney bean, or even larger in the lymph nodesÄepending on the cause of your swollen lymph nodes, other signs and symptoms you might have include:.When your lymph nodes first swell, you might notice: Swollen lymph nodes are a sign that something is wrong somewhere in your body. Lymph nodes that frequently swell are in this area, as well as in your armpits and groin area. Many lymph nodes are located in your head and neck region. Your lymphatic system is a network of organs, vessels and lymph nodes situated throughout your body.
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