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[Cystic adenoid carcinoma of the prostate. Report of a case]
V Osorio Acosta1, I Borrajero Martínez
1Servicio de Urología, Hospital Clínico Quirúrgico Hermanos Ameijeiras, La Habana, Cuba.
Objectives:
To describe a 41-year-old, white, male patient with a previous history of rectal pain. He was diagnosed as having a prostatic tumor and was treated with antiandrogens and irradiation, which temporarily achieved temporary symptomatic relief. When the symptoms reappeared, the patient consulted at our hospital. A multinodular tumor was detected in the rectum. Transrectal ultrasound-guided biopsy disclosed adenoid cystic carcinoma of the prostate or adjacent structures.
Methods/Results:
The characteristics of the lesion prompted tumor excision alone. Since the integrity of the rectal and prostatic urethra could not be preserved, a recto-urethral fistula was done, which was subsequently closed via the transrectal approach. The clinical characteristics of the tumor and the surgical procedure performed required treatment with an antitumoral immunomodulator (recombinant a-interferon) for one year.
Conclusions:
One and a half years postoperatively, no signs of tumor recurrence or distant metastasis have been observed. To our knowledge, this is the seventh case reported in the world literature and the first in the Spanish literature.