DOI: 10.36347/sjmcr.2022.v10i03.026

Pages: 266-268

Mucinous adenocarcinoma of the prostate is an extremely rare histological variant of prostate cancer. The malignancy potential, tumor grading, clinical course and prognosis of affected patients remain controversial. There are no data on the evolution of metastatic mucinous adenocarcinoma of the prostate. Our case describes the rapid and unfortunate evolution of a prostatic mucinous adenocarcinoma invading bladder with skin metastasis in a 47-year-old patient, who was hospitalized because of intermittent gross hematuria accompanied by bulky and dark red clots for more than two months. The diagnosis was confirmed after a prostatic Magnetic resonance imaging (MRI) and a transurethral resection of the prostate and bladder with anatomopathological study and immunohistochemical complement. The evolution was marked initially by the appearance cutaneous metastasis during his hospitalization and hepatic and splenic metastases 3 months after his initial extension workup which was negative; our patient is currently on his 2nd cycle of chemotherapy for palliative purposes. The aim of our article is to highlight the most important diagnostic features and specific aspects in the primary diagnosis of this tumor, which every urologist should keep in mind, and we will focus on the prognosis and the interest of an early and especially multidisciplinary management.