Cervical Skip Metastases and Extensive Central Venous Thrombosis as the Initial Presentation of High‐Grade Prostate Adenocarcinoma With Discordant PI ‐ RADS 3 Findings: A Case Report and Diagnostic Challenge

Key Points

• The aim is to discuss the initial unusual presentation of high-grade prostate adenocarcinoma with cervical skip metastases.
• Presented a case of a patient with cervical lymph node metastases and extensive central venous thrombosis.
• Utilized mpMRI to evaluate prostate lesions and assess cancer grade.
• The patient exhibited a Gleason score of 10, indicating high-grade disease.
• Diagnostic imaging showed PI-RADS 3 lesions not excluding significant prostate cancer.