Visual loss as the initial manifestation of an ignored disseminated prostate cancer: A case report

PURPOSE: To present a rare case of advanced disseminated prostate cancer with bilateral visual loss as the initial manifestation of the disease. OBSERVATIONS: A 55-year-old man referring progressive visual blurring for the last 6 months and painless severe bilateral visual loss in the last 7 days pr...

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Detalles Bibliográficos
Autores principales: Miranda, Alejandra B., Guantay, Carla D., Espósito, Evangelina, Urrets-Zavalía, Julio A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9660576/
https://www.ncbi.nlm.nih.gov/pubmed/36393904
http://dx.doi.org/10.1016/j.ajoc.2022.101748
Descripción
Sumario:PURPOSE: To present a rare case of advanced disseminated prostate cancer with bilateral visual loss as the initial manifestation of the disease. OBSERVATIONS: A 55-year-old man referring progressive visual blurring for the last 6 months and painless severe bilateral visual loss in the last 7 days prior to our consultation, associated with a bilateral optic disc swelling and leptomeningeal metastases from a previously ignored prostate carcinoma is presented. Rapid improvement of visual acuity and involution of leptomeningeal metastasis was observed after initiation of the specific oncologic treatment. CONCLUSIONS AND IMPORTANCE: Bilateral visual loss may be the initial manifestation of leptomeningeal carcinomatosis from an ignored prostate cancer. Prompt diagnosis is crucial in order to improve the quality of life of a critically ill patient with a disseminated prostate cancer.

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