[Primary transitional cell carcinoma of prostate: a case report]

Area of Science:

• Urology
• Oncology

Background:

• Benign prostatic hypertrophy (BPH) is common in older men.
• Transitional cell carcinoma (TCC) of the prostate is rare.

Observation:

• A 67-year-old male presented with voiding difficulty.
• Initial diagnosis was BPH, but pathology revealed TCC.
• Prostate-specific antigen (PSA) levels were normal.

Findings:

• Transurethral resection of the prostate (TURP) was performed for BPH.
• Pathology confirmed TCC, prompting M-VAC chemotherapy.
• Radical surgery (cystoprostatourethrectomy, lymphadenectomy, ileal conduit) followed.

Implications:

• This case highlights the importance of pathological examination post-TURP.
• Aggressive treatment including chemotherapy and surgery can be effective for TCC.
• Successful one-year follow-up suggests favorable prognosis with multimodal therapy.