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There are few reported cases in the prostate adenocarcinoma literature with locoregional extension and normal prostate-specific antigen (PSA). We present the case of a patient with prostate adenocarcinoma and metastases with PSA values within the normal range, despite evidence of clinical and radiological progression of the disease. This is a 72-year-old patient presenting with a dysectatic syndrome in which there is a budding ulceration of the glans, an induration of the corpora cavernosa anddoi:10.4236/oju.2019.91002 fatcat:hixesrqi5favtfvecaj5nf3iu4