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Giant Pelvic Adenoma Originating from Ectopic Prostatic Tissue.

Xiao-Qing Lu1, Hai-Ping Hu1, Zhi-Cheng Cong1

  • 1Department of Surgical Urology, Zhejiang Hospital, Hangzhou 310013, China.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|March 3, 2019
PubMed
Summary

A rare case of giant pelvic adenoma originating from ectopic prostatic tissue in a 71-year-old male is presented. Awareness of this unusual lesion is crucial to differentiate it from other pelvic tumors.

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Area of Science:

  • Urology
  • Pathology
  • Surgical Oncology

Background:

  • Ectopic prostatic tissue, tissue originating from the prostate gland but located outside its normal anatomical position, is exceptionally rare.
  • Pelvic masses can arise from various origins, necessitating accurate diagnosis for appropriate management.

Observation:

  • A 71-year-old male presented with an eight-month history of a lower abdominal mass and recent acute urinary retention.
  • The patient reported three years of mild lower urinary tract symptoms prior to the current presentation.
  • Diagnostic workup included physical examination, laboratory tests, ultrasonography, and magnetic resonance imaging (MRI).

Findings:

  • Pathological examination confirmed the pelvic mass to be an adenoma arising from ectopic prostatic tissue.
  • The lesion was characterized as a giant pelvic adenoma.

Implications:

  • This case highlights the importance of considering ectopic prostatic tissue as a rare cause of pelvic masses.
  • Accurate recognition of this unusual entity is vital to prevent misdiagnosis and ensure correct surgical and therapeutic strategies.
  • Increased awareness among clinicians can improve diagnostic accuracy for rare pelvic tumors.