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Metastatic adenocarcinomas to the prostate are secondary adenocarcinomas that have spread to the prostate gland via angiolymphatic invasion.
More commonly, adenocarcinomas from contiguous organs (e.g., bladder and colorectum) directly invade the prostate.
Distant metastases to the prostate from adenocarcinomas arising in noncontiguous organs (e.g., the lung) are exceptionally rare in clinical specimens.
They are typically noted only with disseminated disease at autopsy (5% of cases in some series).
The most common adenocarcinomas that directly invade the prostate originate from the urinary bladder, colon/rectum, or urethra.
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