Man 49yo, dysuria, clicinal
examination detected big lymph node on his
left neck ( foto).
Ultrasound
examination
of the
neck: normal thyroid gland, size of lymph node of
2cm, hypoechoic without hilus on
color doppler ( US 1).
On
elastoscan, center
of this lymph node
is hard 22kPa.
Ultrasound scanning of
pelvis detected prostate having one hypoechoic mass at right lobe
( US 3).
US scanning at epigatric area
detected one mass ellypsoid of 3
cm lying over aorta (US 4).
Sonologist suggested a prostate cancer with metastasis to lymph node.
CT scan with CE revealed the mass in prostate hypovascular, no
contrast enhancement. looked like necrosis or abscess.
Biopsy of this
cervical lymph node is tuberculosis lymphadenitis (photo )
Punction of prostate
mass removed pus specimen, and examination this pus with PCR is TB positive and high ADA.
Blood
test PSA is 2.05 ng/mL.
CONCLUSION: this
case is tuberculosis prostate and lymph node looked like prostate cancer metastasis
to cervical lymph node.
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