African men tend to present late with advanced prostate cancer (CaP) making prognosis grave despite treatment. This study was carried out to document findings in patients with metastatic prostate cancer at presentation. Seventeen (17) patients with metastatic CaP at presentation who had complete data were recruited. Peak age group was between 51 and 70 years of age with the commonest site of metastasis being bone (68.42%) and 2 patients (10.52%) having multiple sites of metastasis. The PSA range was 5.5-140 ng/ml with most patients having values above 20ng/ml and most patients were found to be within the higher prognostic grade groups. Metastatic prostate cancer is a challenge in our setting and there is need for routine screening for this disease.
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