Prostate Cancer with a Presenting Symptom of Lower Thoracic Back Pain

  • Vasu Malhotra, OMS-II Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, FL
  • Chinar Singh, OMS-II1 Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, FL
  • Allison Weening, OMS-II Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, FL
  • Shreya Patel, OMS-II Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, FL
  • Bindu Mayi, MSc, PhD Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, FL
  • Joseph A. Migliozzi, MD Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, FL
  • Vikas Malhotra, MD Florida Cancer Specialists & Research Institute, Tampa, FL

Abstract

Back pain is a common complaint addressed by family physicians. This is an uncommon case of a patient presenting with back pain and subsequent workup revealing a new diagnosis of metastatic prostate cancer with bone metastasis. This case can be used to highlight an unusual presentation and to facilitate inclusion of prostate cancer in the differential diagnosis. A review of the literature calls attention to the clinical features that make such a scenario likely and guides the discussion of the current understanding of the mechanisms leading to such a presentation. Underlying risk factors of obesity, diabetes, and chronic kidney disease (CKD) may increase this risk. A high Gleason score with poorly differentiated features also increases the risk of de novo metastatic presentation.

Published
2023-03-08
How to Cite
MalhotraV., SinghC., WeeningA., PatelS., MayiB., MigliozziJ., and MalhotraV. “Prostate Cancer With a Presenting Symptom of Lower Thoracic Back Pain”. Osteopathic Family Physician, Vol. 15, no. 1, Mar. 2023, pp. 25–29, doi:10.33181/13092.
Section
Review Articles
Received 2023-03-08
Published 2023-03-08