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Man 65 yo in trouble and difficult mictation, looked like in prostate disease.
Ultrasound of pelvis detected one presacral ovoid mass causes deplacement of rectum and prostate (US picture 1).
Pelvis MSCT of this tumor presented solid, retrorectum, and presacral, well bordered, and not connected to rectum or sacrum (see CT1, CT2).
MRI with gado of this tumor is central necrosis , well enhanced with gado contrast ( see MRI 1, 2 ,3).
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Blood tests detected abnormal anything.
What is your suggestion for diagnosis?.