Five-year prognosis after radical prostatectomy in a patient with localized prostate cancer and incidental non-Hodgkin's lymphoma

We present a white male patient with an initial prostate-specific antigen l evel of 69 ng/ml, referred for urological evaluation, He was found to be fr ee of prostatitis but diagnosed for prostate adenocarcinoma without any ind ications of metastatic disease. Lymphadenectomy then revealed lymphadenopat hy of low-grade non-Hodgkin's lymphoma. Five-year follow-up after radical r etropubic prostatectomy (RRP) showed no evidence of metastatic or local pro state cancer recurrence. In addition, no radiation or chemotherapy was requ ired for his lymphoma, Although RRP is a viable option in this unique case, the outcome th us far suggests that it should be considered a primary ther apeutic modality, Copyright (C) 2001 S. Karger AG, Basel.