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We report an unusual case of prostatic carcinoma in a 47-year-old male that presented with generalized lymphadenopathy. He initially presented with metastatic lymphadenopathy. He underwent a battery of investigations to find the primary site of origin but to no avail. Thereafter, a complete and diligent physical examination revealed a hard and irregular normal-sized prostrate which was later confirmed as the primary site of tumor. This case report reiterates the significance of a precise and complete physical examination that may prove vital in avoiding superfluous expensive investigations and a delay in diagnosis.