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[Assymptomatic prostatic infiltration by chronic lymphocytic leukemia]
Teresa Pastor Navarro1, Jorge Planelles Gómez, Manel Beamud Cortés
1Servicio de Urología, Hospital Universitario Doctor Peset, Valencia, España. tpastorn@yahoo.es
Insights
This case report details an incidental finding of chronic lymphocytic leukemia (CLL) infiltrating the prostate in an asymptomatic patient. This highlights the importance of imaging in detecting unexpected leukemic involvement.
Area of Science:
- Oncology
- Hematology
- Radiology
Background:
- Chronic lymphocytic leukemia (CLL) is a common hematologic malignancy.
- Prostate involvement in hematologic tumors is rare, particularly in asymptomatic patients.
Observation:
- A 60-year-old male with known CLL presented for routine CT.
- CT revealed multiple lymphadenopathies and a hypodense lesion in the left prostatic lobe.
- The patient was asymptomatic with no urinary complaints.
Findings:
- Digital rectal examination revealed a hard, ill-defined prostate.
- Transrectal ultrasound demonstrated heterogeneous parenchyma and hyperechoic areas.
- Pathological analysis confirmed diffuse infiltration by CLL cells.
Implications:
- This case represents a rare instance of incidental leukemic prostate infiltration.
- It underscores the utility of cross-sectional imaging in identifying extranodal hematologic spread.
- Further investigation into the frequency and clinical significance of such findings is warranted.
Objective:
Report of a case of leukemic infiltration of the prostate as an incidental CT finding.
Methods:
We describe a case of a 60-year-old male suffering from chronic lymphocytic leukemia. A routine-performed CT showed multiple lymphadenopathies and an hypodense area in the left prostatic lobe. The patient was sent to our department to carry out a transrectal ultrasound and prostatic biopsy. He didn't relate any urinary symptoms.
Results:
By the prostate rectal examination the gland felt hard and with no well defined limits. The transrectal ultrasound showed heterogene parenchyma and several hyperechoic areas by a bad circumscribed prostate. The pathological analysis reported a diffuse infiltration of the gland by chronic lymphocytic leukemia cells.
Conclusions:
Although the relapse of hematological tumors to the prostate has been described previously, there is no published case to our knowledge of a leukemic prostate infiltration in an assymptomatic patient as an incidental finding by an imaging procedure.
