Unilateral Involvement of the Vas Deferens in Prostate

A 70 year old diabetic presented with nocturia and a PSA of 36/ ng/ml. There was no history of retention or disseminated disease. Rectal examination revealed a neoplastic prostate. His MRI report revealed a T3b prostate cancer with presumed unilateral involvement of his left vas deferens on a coronal section, (Figure) . Final histology revealed a Gleason score 7 adenocarcinoma. He was treated with external beam radiotherapy and hormonal therapy. involve the vas deferens but primary neoplasms are rare. deposits involving the vas are also rare [2] but may mimic tumour extension. Idiopathic calcification is in elderly diabetics but is usually bilateral prostate cancer are have pathological on imaging, with specimens