A case report of a prostate cancer metastasis in the pancreas exhibiting vascular encasement

• Published in: Radiology Case Reports
• Main Authors: Lauren Phung, BS, Pei-Kang Wei, MD, Alexander D. Pyden, MD, Robert M. Najarian, MD, Leo L. Tsai, MD, PhD
• Format: Article
• Language: English
• Published: Elsevier 2024-03-01
• Subjects: Prostate cancer; Pancreatic metastases; Metastatic prostate cancer
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043323008671

We report a patient who presented with a 4-month history of intermittent epigastric pain. Computed tomography (CT) angiography of the abdomen demonstrated a stenotic celiac trunk but also encasement of the common proper hepatic artery, gastroduodenal artery, and proper hepatic artery by an ill-defined hypoattenuating mass of the pancreatic head. Biopsy confirmed metastatic prostate cancer to the pancreas that occurred 4 years after radiation and androgen deprivation therapy. A follow-up staging study demonstrated an osseous metastasis at the T4 spinous process. This case demonstrates an unusual case of prostate metastasis to the pancreas with the involvement of a main abdominal vessel. With treatment improvements leading to longer survival rates from prostate cancer, radiologists should be aware of atypical metastases that may arise in the long term.