Recurrent Urethral Phyllodes Tumour Presenting With Urinary Retention: A Case Report and Literature Review

Area of Science:

• Urology
• Oncology
• Pathology

Background:

• Urethral tumors are rare, with fibroepithelial polyps being a common benign diagnosis.
• Phyllodes tumors are typically found in the breast but can rarely occur in other locations, including the urethra.

Purpose of the Study:

• To report a rare case of a recurrent urethral phyllodes tumor in a male patient.
• To emphasize the diagnostic challenges and importance of histopathological evaluation for rare urological neoplasms.

Main Methods:

• Case presentation of a 58-year-old male with urinary retention.
• Diagnostic procedures included flexible cystoscopy and MRI prostate.
• Histopathological examination of the excised lesion.

Main Results:

• Initial diagnosis of urethral fibroepithelial polyp in 2022.
• Recurrence presented as a prostatic urethral polyp extending into the bladder neck.
• Histology confirmed a low-grade phyllodes tumor upon recurrence.

Conclusions:

• Urethral phyllodes tumors are rare and can mimic benign conditions like fibroepithelial polyps.
• Accurate histopathological diagnosis is crucial for appropriate management of recurrent urethral lesions.
• Awareness of rare urological tumors is essential for clinicians.