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...

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Autores principales: Miranda, Alejandra, Guantay, Carla Daniela, Esposito, Evangelina, Urrets Zavalía, Julio
Formato: Artículo acceptedVersion
Lenguaje:Español
Publicado: 2022
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Acceso en línea:http://pa.bibdigital.ucc.edu.ar/3683/1/A_Miranda_Esp%C3%B3sito_Guantay_UrretsZaval%C3%ADa.pdf
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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.