Talvitie, et al. (2011) wrote about two cases involving a solitary fibrous tumor (SFT) that
is usually found in the pleura. The first case presents with a 66-year-old man who has lower
urinary tract symptoms. The patient had nocturnal radiating pain from the groin towards the
scrotum and micturition difficulties. His PSA was slightly elevated and an ultrasound exam
showed a mass in the posterior prostate. A transurethral resection of the prostate (TUR-P) was
performed and a series of transrectal needle biopsies were taken and showed several of the
samples had a mesenchymal neoplasia with storiform growth patterns consistent with SFT. The
patient underwent MRI scans, which showed a tumor growing between the prostate and rectum.
The tumor was 4.2 x 3.0 x 5.0 cm, and there was no gross infiltration of into the rectal wall. The
patients’ treatment was an en bloc excision of the tumor, seminal vesicles, prostate, and rectum.
The patient suffered from urosepis after the surgery, and was successfully treated with
antibiotics. Surgeons could not tell if the tumor originated from the prostate or from connective
tissue between prostate and rectum.
The second case involved a 69-year-old man who presented with lower urinary tract
symptoms, urine retention, and hematuria. The hematuria was treated with TUR-P, and it showed
that the entire specimen was infiltrated with a mesenchymal tumor diagnosed as SFT. Nine
months after the diagnosis a second TUR-P was performed, because of gross hematuria, where a
small tissue remnant was taken and biopsied revealed SFT. The tumor that was resected was 5cm in diameter, and well-circumscribed. After 2 more years the patient had a
cystoprostatectomy performed. There have been no relapses in either case. SFT is a spindle cell
tumor that is rare and usually found in the pleura. These two cases are the 26th and 27th reported
cases to involve the prostate.
Talvitie, et al. (2011) wrote about two cases involving a solitary fibrous tumor (SFT) thatis usually found in the pleura. The first case presents with a 66-year-old man who has lowerurinary tract symptoms. The patient had nocturnal radiating pain from the groin towards thescrotum and micturition difficulties. His PSA was slightly elevated and an ultrasound examshowed a mass in the posterior prostate. A transurethral resection of the prostate (TUR-P) wasperformed and a series of transrectal needle biopsies were taken and showed several of thesamples had a mesenchymal neoplasia with storiform growth patterns consistent with SFT. Thepatient underwent MRI scans, which showed a tumor growing between the prostate and rectum.The tumor was 4.2 x 3.0 x 5.0 cm, and there was no gross infiltration of into the rectal wall. Thepatients’ treatment was an en bloc excision of the tumor, seminal vesicles, prostate, and rectum.The patient suffered from urosepis after the surgery, and was successfully treated withantibiotics. Surgeons could not tell if the tumor originated from the prostate or from connectivetissue between prostate and rectum.The second case involved a 69-year-old man who presented with lower urinary tractsymptoms, urine retention, and hematuria. The hematuria was treated with TUR-P, and it showedthat the entire specimen was infiltrated with a mesenchymal tumor diagnosed as SFT. Ninemonths after the diagnosis a second TUR-P was performed, because of gross hematuria, where asmall tissue remnant was taken and biopsied revealed SFT. The tumor that was resected was 5cm in diameter, and well-circumscribed. After 2 more years the patient had acystoprostatectomy performed. There have been no relapses in either case. SFT is a spindle celltumor that is rare and usually found in the pleura. These two cases are the 26th and 27th reportedcases to involve the prostate.
การแปล กรุณารอสักครู่..
