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AJR 2002; 178:125-127
© American Roentgen Ray Society

Original Report

Mesenteric Adenopathy in Patients with Prostate Cancer

Frequency and Etiology

Fergus V. Coakley1,2, Rudolph Y. Lin1, Lawrence H. Schwartz1 and David M. Panicek1

1 Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., New York, NY 10021.
2 Present address: Department of Radiology, University of California, San Francisco, Box 0628, M-372, 505 Parnassus Ave., San Francisco, CA 94143-0628.

OBJECTIVE. This study was undertaken to determine the frequency and etiology of mesenteric adenopathy revealed at initial-staging CT in patients with prostate cancer.

CONCLUSION. Mesenteric adenopathy is a rare finding at initial-staging CT in patients with prostate cancer and is more often due to coexistent lymphoma than to metastatic disease, particularly in the absence of associated pelvic adenopathy and a markedly elevated serum prostate-specific antigen level. Appropriate radiologic interpretation of the finding prevents overstaging of prostate cancer.


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