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[Phyllodes tumor of the prostate: a case report]
Hiroshi Kameoka1, Kenjirou Kumakawa, Hisashi Uchida
1Department of Urology, Jyusendo General Hospital.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|February 15, 2002
Summary
Prostatic phyllodes tumors are rare. This case report details a 36-year-old man with a malignant phyllodes tumor of the prostate, successfully treated with radical prostatectomy.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Prostatic phyllodes tumors are exceptionally rare, with limited documented cases in medical literature.
- This report focuses on a unique case of a malignant phyllodes tumor arising in the prostate gland.
Observation:
- A 36-year-old male presented with urinary frequency and dysuria.
- Initial transurethral resection of the prostate (TUR-P) for obstructive symptoms was followed by a recurrence.
- Pathological examination of the recurrent tissue revealed a phyllodes tumor with malignant stromal components, including rhabdomyosarcoma-like features.
Findings:
- The patient underwent radical prostatectomy with lymph node dissection.
- Surgical margins and pelvic lymph nodes were confirmed to be tumor-free.
- The patient experienced a favorable outcome, remaining disease-free for 14 months post-surgery.
Implications:
- This case highlights the importance of thorough pathological examination for unusual prostatic lesions.
- Radical prostatectomy can be an effective treatment for malignant prostatic phyllodes tumors.
- Further research into the nature and optimal management of these rare tumors is warranted.