C61/D07.5/D29.1/D40.0
DESCRIPTION
Usually occurs in men > 50 years of age and is most often asymptomatic.
Systemic symptoms, i.e. weight loss, bone pain, etc. occurs in 20% of patients.
Obstructive voiding symptoms and urinary retention are uncommon.
The prostate gland is hard and may be nodular on digital rectal examination.
As the axial skeleton is the most common site of metastases, patients may present with back pain or pathological spinal fractures.
Lymph node metastases can lead to lower limb lymphoedema.
REFERRAL
All patients with suspected cancer.