Exophytic benign prostatic hyperplasia presenting as a polycystic pelvic mass

Area of Science:

• Urology
• Pathology
• Radiology

Background:

• Benign prostatic hyperplasia (BPH) typically affects the prostate gland.
• Exophytic BPH presenting as a pelvic mass is an uncommon clinical presentation.

Observation:

• A 69-year-old male incidentally discovered a pelvic mass present for over 18 years.
• Digital rectal examination identified a rectal wall mass; imaging confirmed a right pelvic occupancy.
• Prostate-specific antigen levels were within normal limits (3.187 ng/mL).

Findings:

• Surgical resection via laparoscopy was performed for the pelvic tumor.
• Pathological examination identified the mass as an exophytic benign prostatic hyperplasia nodule.
• Post-operative follow-up at 6 months showed no signs of recurrence.

Implications:

• This case highlights an unusual presentation of BPH.
• It underscores the importance of comprehensive diagnostic evaluation for pelvic masses.
• Surgical management can be effective for exophytic BPH nodules, even when large.