"Patients either present with urinary symptoms attributable to outflow obstruction or with symptoms from metastases. It is rare for the diagnosis to be made clinically or on imaging, although suspicion that an aggressive prostate mass is not the more common prostate cancer is usually raised due to the patient's age or absence of raised PSA 2."
Expected headings
"Differential diagnoses"
"tumours of the pelvis (e.g. sarcomas)"