An unusual presentation of advanced prostate cancer in a 56-year old Nigerian

Introduction: Advanced prostate cancer usually presents with lower urinary tract symptoms associated with features of malignancy on digital rectal examination. The bones, the liver, and the lungs are the common sites of metastasis for advanced prostate cancer.Observation: We report an atypical case of a 56- year old Nigerian male who had bowel obstruction, multiple peripheral and intra-abdominal lymphadenopathies. The patient had a normal initial urological evaluation but his diagnostic conundrum was resolved to be prostate cancer by immuno-histochemistry of the cervical lymph node biopsy and he did well after antiandrogen monotherapy.Keywords: Prostate cancer; Atypical; Adenocarcinoma of unknown origin; Lymphom