10th June 2021

A 78-year-old male sees his general practitioner with increasing pain and lethargy

A 78-year-old male sees his general practitioner with increasing pain and lethargy. The pain is mainly in his back and is dull in nature, and he describes it as a deep ‘gnawing’ sensation. On further questioning, for the last year or so, he has been getting up several times during the night to urinate and has noticed blood in his urine on one or two occasions.

For the patient above, please select which is the most likely cause. Select ONE option from the list above.