Conclusions:
Our case highlights the importance of investigating a PSA level when
malignancy is suspected in an elderly male patient regardless of the
initial presenting tumor site or symptom. Though such extensive
metastasis usually yields a poor prognosis, our patient had dramatic
improvement with prompt initiation of treatment. The patient’s
generalized lymphadenopathy- particularly enlarged right supraclavicular
lymph node, likely reactive secondary to COVID-19 immunization, prompted
further imaging and biopsy thereby leading us to his diagnosis of
metastatic prostate adenocarcinoma which may have otherwise gone
undetected until further disease progression.