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[Prostatic leiomyoma]

B Coulier1, V Lens, P Mailleux

  • 1Service d'Imagerie Médicale, Clinique St Luc, Bouge (Namur), Belgium.

Journal Belge De Radiologie
|June 1, 1995
PubMed
Summary
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Large prostatic leiomyomas are rare tumors causing urinary obstruction. Diagnosis requires histopathology, but imaging suggests a benign process with a good prognosis.

Area of Science:

  • Urology
  • Pathology
  • Radiology

Background:

  • Prostatic leiomyomas are rare benign tumors originating from smooth muscle tissue.
  • They can cause lower urinary tract symptoms (LUTS) due to mass effect.

Observation:

  • A case report of a 78-year-old male with two large prostatic leiomyomas presenting with obstructive urinary symptoms.
  • Ultrasound (US) and Computed Tomography (CT) imaging revealed non-specific signs suggestive of a benign etiology.
  • The leiomyomas were noted in association with benign prostatic hypertrophy (BPH).

Findings:

  • Definitive diagnosis of prostatic leiomyoma was established through histopathological examination.
  • The tumor is likely of embryologic origin and needs differentiation from malignant neoplasms.

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  • No evidence of recurrent disease was observed post-diagnosis.

    • Implications:

    • Highlights the importance of considering prostatic leiomyoma in the differential diagnosis of obstructive LUTS, especially when co-existing with BPH.
    • Emphasizes the role of imaging in suggesting a benign process, while underscoring the necessity of histopathology for definitive diagnosis.
    • Suggests a favorable prognosis for prostatic leiomyomas with appropriate diagnosis and management.