Urology Case Reports (Nov 2022)

Isolated prostate amyloidosis; a case report

  • Robert R. Sibley,
  • Benjamin Ellison,
  • James J. Siegert,
  • Mark A. Van Gorder

Journal volume & issue
Vol. 45
p. 102229

Abstract

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Identification of amyloidosis on a prostate biopsy specimen raises suspicion for systemic amyloidosis. For patients at risk of prostate adenocarcinoma, a transrectal MRI ultrasound fusion (MRI-TRUS) guided biopsy of the prostate is often needed for further investigation. Our patient is a 70 year old male presenting from his primary care provider with an elevated PSA. The patient underwent MRI-TRUS fusion biopsy of the prostate, which demonstrated AL (lambda)-type amyloidosis, confirmed by mass spectrometry in addition to prostatic adenocarcinoma. He was subsequently diagnosed with primary amyloidosis of the prostate without evidence of other amyloid deposition sites.

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