Phyllodes tumor of the prostate: Long-term follow up of a rare condition

We describe an extremely rare case of Phyllodes tumor of the prostate in a 35-year-old man. The patient was referred to our hospital for the recurrent episodes of urinary retention. He complained of severe obstructive lower urinary tract symptoms and dysuria. Serum prostate-specific antigen (PSA) was within the normal range. Transabdominal ultrasonography showed a few heterogenous echoic areas in a 110-gm prostate and some cystic areas with invasion to the urinary bladder. In the past, transurethral resections of the prostate (TURP) had been performed for him twice and microscopic examination of the specimens had shown cystically dilated glands consisting of bizarre cells with nuclear atypia. Finally, radical retropubic prostatectomy was performed against the recurrences of the tumor. Here we describe the morphological features and immuno-histochemical presentations of Phyllodes tumor of the prostate and its long-term follow-up in the patient.