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A 70-year-old man presented with left loin pain without urinary symptoms. Initial investigations with CT showed enlarged para-aortic, mediastinal lymph nodes, rightside renal mass and enlarged prostate. A prostaticspecific antigen (PSA) was alarmingly high at 4750 μg/L (normal <4.0 μg/L). Further investigations included positron emission tomography (PET); both prostatespecific membrane antigen and 18-fluorodeoxyglucose as well as bone scan and bone marrow examination confirmed dual malignancies with B-cell non-Hodgkin’s lymphoma (B-NHL) and wide spread metastatic prostatic adenocarcinoma (PA ) to the skull, spine, pelvis, liver and lungs. The patient was treated with six cycles of rituximab, etoposide, prednisone, vincristine, cyclophosphamide and doxorubicin(R-EPOCH) containing regimen for B-NHL and goserelin hormonal therapy for PA . Restaging with PET scans thereafter showed complete remission of NHL with disappearance of his metastatic PA and normalisation of PSA levels. R-EPOCH regimen and antiandrogen therapy resulted in a good outcome and remission of both malignancies.

Item Type:	Contribution to Refereed Journal
Research Division:	Medical and Health Sciences
Research Group:	Cardiorespiratory Medicine and Haematology
Research Field:	Haematology
Objective Division:	Health
Objective Group:	Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:	Blood Disorders
Author:	Hanna, F (Dr Fayez Hanna)
Author:	Khalafallah, AA (Professor Alhossain Khalafallah)
ID Code:	125432
Year Published:	2017
Deposited By:	Menzies Institute for Medical Research
Deposited On:	2018-04-17
Last Modified:	2018-04-17
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