Abdominal Tumor and Prostatic Cancer
EUGENE F. POUTASSE, M.D.
Department of Urology
CHARLES H. BROWN, M.D.
Department of Gastroenterology
UNEXPLAINED abdominal masses are seldom caused by prostatic carcinoma. Recently we observed 2 patients with large abdominal masses secondary to asymptomatic carcinoma of the prostate gland. These 2 patients emphasize the importance of a careful examination of the prostate gland in any man with an abdominal mass.
Prostatic cancer metastasizes by a number of different routes, often widely and without any symptoms from the primary tumor. The etiology of an abdominal tumor in a man may thus be overlooked. The following 2 case reports illustrate this point and demonstrate the response of prostatic cancer to antiandrogenic therapy.
Case 1. A man, aged 58, was first observed at the Cleveland Clinic on September 4. 1951, with a complaint of back pain of 7 months’ duration. The pain, initially experienced after a fall, had not responded to any form of therapy. He had no gastrointestinal or other complaints. The patient had received treatment for syphilis several years previously.
Physical examination showed a blood pressure of 100/70; his temperature was 98 F. and pulse 60. The pertinent physical findings were limited to the abdomen and genitourinary tract. The abdomen was scaphoid, and there were no areas of tenderness. In the left upper quadrant a hard, rounded nodular mass was palpable and did not move with respiration. A similar but larger mass was also palpable in the right lower quadrant, and apparently attached to the wall of the pelvis. The prostate gland was enlarged, hard and nodular; above and lateral to the prostate were. . .