Abstract
Objective: To investigate the clinical-pathological and prognostic factors of patients with advanced prostate cancer at the age under 55 years old. Details of the case: A 51-year-old man has a history of pain and difficulty urinating for approximately two years, being treated only symptomatically. In June 2020, the urological condition worsened and, in addition to his previous condition, he presented severe pain in the lower limbs associated with difficulty walking. Specific Prostatic Antigen (PSA) was requested, with a value of 2,875.76 ng/ml then were performed Magnetic resonance imaging of the prostate and lumbar spine, bone scintigraphy and prostatic transrectal biopsy, the latter found Acinar and usual Adenocarcinoma with Gleason Grade 9. Final considerations: Although there is no scientific consensus as to when screening for prostate cancer should begin, the importance of an individual approach towards suspected prostatic carcinoma in cases of persistent urinary symptoms is irrefutable, since early diagnosis favors a more favorable prognosis in young patients.