Abstract

Prostate cancer is the 2nd most common cancer in males worldwide and 6th most common in Indian males and as per Globocan 2022, 14,66,680 new cases in world and 37,948 cases in India were reported in 2022. Carcinoma prostate has an indolent course and patients usually present with urinary complaints. Widespread use of serum PSA for screening has also led to early diagnosis of the disease but they rarely present with metastatic disease. It often metastasises to regional lymph nodes and bones and rarely spread to supradiaphragmaticnodes. Left Supraclavicular node is commonly associated with gastrointestinal malignancies but association with carcinoma prostate is extremely rare (0.3%). We present a case of a 62 year old male smoker who presented to us with Supraclavicular nodal mass and an incisional biopsy of the same which was suggestive of metastatic adenocarcinoma. On metastatic workup an enlarged prostate and diffuse lymphadenopathy involving mediastinal, abdominal, retroperitoneal, paraaortic, common iliac lymph and left Supraclavicular lymph node was seen. Transrectal biopsy from the prostate was done which implied Adenocarcinoma with a Gleason score of 3+4=7 and high serum PSA was also reported. Metastatic carcinoma prostate with left Supraclavicular lymph node enlargement though a rare case presentation but should be kept as a differential in elderly male patients.

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