A case of high-grade prostate cancer with low PSA levels

Prostate-specific antigen (PSA) levels typically correlate with the risk of prostate cancer. However, it is uncommon for an extensive malignant infiltration to occur with persistently low PSA levels. We present a case of a young male with a large tumor originating from the transition zone of the prostate and with low PSA levels This case underscores the biological heterogeneity of prostate cancer and suggests that tumors arising in the transition zone may differ significantly in behavior from those originating in the peripheral zone.

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Publication Details

Journal
Urology Case Reports
Published
2025-08-18
DOI
https://doi.org/10.1016/j.eucr.2025.103161
Primary Topic
Prostate Cancer Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
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article

A case of high-grade prostate cancer with low PSA levels

Wojciech Rogowski, Jerzy Walecki, Katarzyna Sklinda, Jan Bociański et al.
Urology Case Reports
Prostate Cancer Diagnosis and Treatment
article

A case of high-grade prostate cancer with low PSA levels

Wojciech Rogowski, Jerzy Walecki, Katarzyna Sklinda, Jan Bociański, Magdalena Kasprowicz, Łukasz Michałowski, Michał Małek, Weronika Popow
article en

Abstract

Prostate-specific antigen (PSA) levels typically correlate with the risk of prostate cancer. However, it is uncommon for an extensive malignant infiltration to occur with persistently low PSA levels. We present a case of a young male with a large tumor originating from the transition zone of the prostate and with low PSA levels This case underscores the biological heterogeneity of prostate cancer and suggests that tumors arising in the transition zone may differ significantly in behavior from those originating in the peripheral zone.

Urology Case ReportsVol. 62
Ministry of Interior (IT), Ministry of Interior and Administration (PL)
Good health and well-being
Openalex Percentile: Top 68%
Prostate Cancer Diagnosis and Treatment
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A case of high-grade prostate cancer with low PSA levels — Wojciech Rogowski, Jerzy Walecki, et al. · Urology Case Reports (2025) | TGRS Research Map | TGRS