1. Presented by Jonathan Epstein, M.D. and prepared by Julie M. Wu, M.D.

In 2004 a man at the age of 60 underwent a radical prostatectomy for adenocarcinoma of the prostate. The tumor was a Gleason score 4+5=9 with extensive extraprostatic extension and numerous sites of positive margins. The seminal vesicles and lymph nodes were negative. Four years later the patient presented with an arm mass which underwent first needle biopsy and then a subsequent resection. No evidence of bone metastases were noted at this time.

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