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Ectopic prostate tissue presenting as a giant pelvic mass with seeding nodules
1Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Nowon-gu, Seoul 01757, Korea.
This case study details ectopic prostate tissue found in a 60-year-old man, presenting as a large pelvic mass with nodules. Surgical removal confirmed the tissue and revealed early-stage adenocarcinoma.
Area of Science:
- Urology
- Surgical Pathology
- Oncology
Background:
- Ectopic prostate tissue, while rare, can manifest in various pelvic locations.
- Pelvic masses can present asymptomatically, necessitating thorough diagnostic evaluation.
Observation:
- A 60-year-old male presented with an incidentally discovered 14 cm pelvic mass and smaller nodules.
- Elevated prostate-specific antigen (PSA) levels were noted, but the patient lacked urinary symptoms.
Findings:
- Surgical resection confirmed ectopic prostate tissue with focal adenocarcinoma (Gleason score 6) in the largest mass.
- Postoperative PSA levels normalized, indicating successful removal of the abnormal tissue.
Implications:
- This case highlights the importance of considering ectopic prostate tissue in the differential diagnosis of pelvic masses.
- Early detection and surgical management are crucial for favorable outcomes, even with incidental findings of malignancy.
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