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Published on: February 25, 2007
Aggressive angiomyxoma of the prostate: A case report
Zhirong Zhu1, Jiajun Yan, Guiliang Tang
1Department of Urology, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, Zhejiang, China.
Rationale:
Aggressive angiomyxoma (AAM) of the prostate should be considered as a differential diagnosis for prostatic tumor presenting with classical symptoms of benign prostatic hypertrophy.
Patient Concerns:
A 55-year-old man experienced persisting symptoms of prostatic enlargement associated with urinary frequency and urgency and nocturia. Computed tomography images showed low density in the enlarged prostate.
Diagnoses:
The diagnosis of AAM of the prostate was confirmed based on histopathological findings.
Interventions:
The patient underwent transurethral resection of the prostate.
Outcomes:
The patient was enrolled into a watchful waiting protocol. His condition was fine without signs of recurrence on magnetic resonance imaging at the 8-month follow-up.
Lessons:
AAM of the prostate should be considered a possible cause of urinary difficulty, including retention, although this may be extremely rare. A reliable diagnosis and complete tumor removal enabled optimal treatment and prevention of tumor recurrence.
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