Genitourinary CT Appearances

Prostate Adenocarcinoma CT Findings

• Focal enhancement in the peripheral zone
• CT is typically not used to diagnose prostate adenocarcinoma but to stage it
• Detecting PRAD on CT is challenging

Other Information About Prostate Adenocarcinoma

Etiology:

• Unknown
• Having a family history of PRAD increases risk significantly

Epidemiology:

• Common
• Typically presents after age 50
• More common in people of African ancestry

Presentation:

• Hematuria
• Dysuria
• Nocturia
• Frequent urination
• Hematospermia

Prognosis:

• The 5-year relative survival rates for all prostate cancers are:
  • Localized: >99%
  • Regional: >99%
  • Distant: 37%
  • All SEER stages combined: 97%

Related Pearls: Prostate