Giant prostatic adenocarcinoma is an extremely rare scenario with only two cases reported till date. To the best of our knowledge, our patient, a 76-year-old gentleman adds to the literature as the third case of giant prostatic adenocarcinoma and the second largest in volume. In spite of high pretreatment serum prostate-specific antigen value, he had a nonmetastatic disease that was treated successfully with radical intent, and it is the highlight of this case. He completed the planned treatment and is clinically well with no progression at 3 years.
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